Neer Classification (proximal humerus)

Neer classification of a proximal-humerus fracture by how many of four segments are displaced (> 1 cm or > 45°); part count = 1 + displaced segments (max four-part).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Greater tuberosity displaced
Yes
Surgical neck / shaft displaced
Yes

Result: Neer three-part fracture (2 displaced segments). Displaced: greater tuberosity, surgical neck / shaft.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Displacement
a segment (articular surface, greater tuberosity, lesser tuberosity, surgical neck/shaft) is displaced when separated > 1 cm or angulated > 45°.
Part count
1 + the number of displaced segments — an undisplaced fracture is one-part however many fracture lines it has. Higher counts are unstable with higher AVN risk.

What you enter

  • Articular surface (anatomic neck) displaced
  • Greater tuberosity displaced
  • Lesser tuberosity displaced
  • Surgical neck / shaft displaced
  • Fracture-dislocation present
How this is calculated

Neer CS 2nd. Displaced proximal humeral fractures. I. Classification and evaluation. J Bone Joint Surg Am. 1970;52(6):1077-1089. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.