Proximal humeral fractures are common and most challenging, due to the complexity of the glenohumeral joint, especially in the geriatric population with impacted fractures, that the development of implants continues because currently the problems with their fixation are not solved. Pre-, intra-, and postoperative assessments are crucial in management of those patients. Finite
element analysis, as one of the valuable tools, has been implemented as an effective and noninvasive method to analyze
proximal humeral fractures, providing solid evidence for management of troublesome patients. However, no review article about the applications and effects of finite
element analysis in assessing
proximal humeral fractures has been reported yet. This review article summarized the applications, contribution, and clinical significance of finite
element analysis in assessing
proximal humeral fractures. Furthermore, the limitations of finite
element analysis, the difficulties of more realistic simulation, and the validation and also the creation of validated FE models were discussed. We concluded that although some advancements in
proximal humeral fractures researches have been made by using finite
element analysis, utility of this powerful tool for routine clinical management and adequate simulation requires more state-of-the-art studies to provide evidence and bases.