It's a transverse fracture ,pathological fracture has to b rule out.
What's the mode of injury? Trivial fall ?
If pathological fracture is ruled out, then she can be best managed conservatively.
Extension cast for 4 weeks followed by A/ E cast for another 6 weeks .
If pathological fracture complete bone scans, rule out secondries ,any lump in breast. Etc
Then intramedullary nail spanning whole humerus is the choice of implant with biopsy.
Next Steps
get my appointment at Practo chat for further detailed discussions and management by clicking on the following link below. here u can chat ,or make voice calls or can do video consultation
https://prac.to/dr-pradeep-singh-ortho-surgeon-dir
Dr Pradeep Singh
Orthopedic surgeon