Worland classification

Description

Treatment options

A

Fracture involving the tuberosities

Conservative or surgical with fixation

B

Fracture above the stem

B1

Spiral fracture with stable implant

Surgical: Fixation

B2

Transverse or short oblique fracture with stable implant

Surgical: Fixation

B3

Loosened implant

Surgical: Revision of humeral stem

C

Fracture below the stem

Non-displaced: Conservative

Displaced: Surgical revision of humeral stem or fixation