Background: The present study was conducted for assessing nerve lesions in proximal humeral fractures.

Materials & Methods: A total of 50 patients with proximal humeral fractures were evaluated. The radiographic assessment initially involved conventional radiography. In instances where pain persisted beyond three months, magnetic resonance imaging (MRI) was employed to exclude the possibility of rotator cuff tears. Follow-up period concluded either upon complete recovery or when there was no further improvement in nerve injury recovery or shoulder mobility, despite the absence of enhancement in muscle strength and shoulder function between two consecutive clinical evaluations, which occurred at intervals of six to eight weeks. All the results were recorded in Microsoft excel sheet and was subjected to statistical analysis using SPSS software.

Results: A total of 50 patients were evaluated. Mean age of the patients was 52.6 years. Among them, 70 percent were males while the remaining were females. Right side involvement occurred in 62 percent of the patients. Out of 50 patients, 72 percent of the patients were of displaced fracture. Nerve lesions were seen in 36 percent of the patients.

Conclusion: Proximal humerus fractures are common injuries. Restoration of function requires a thorough understanding of the neurovascular, musculo tendinous, and bony anatomy.