General considerations

C1.2 fractures (slightly varus displaced anatomical neck fracture with associated tuberosity fracture) need to be properly reduced in order to achieve good results in terms of stability, function and pain relief. The anatomic neck fracture is less stable than with valgus malalignment. This kind of fracture needs to be properly reduced in order to achieve good results in terms of stability, function and pain relief. In particular, the varus displacement needs to be restored in order to prevent a secondary varus dislocation or implant failure.

Operative fixation is the preferred treatment. The choice of fixation depends upon the surgeon’s experience and skill, the available implants, and equipment. However, the decision for surgery should also include the functional demands of the patients, the presence of comorbidities and the ability to undergo operative treatment. The results of nonoperative treatment can be satisfactory.