A distal humerus fracture, closed, is a serious injury that requires prompt and appropriate treatment to ensure the best possible outcome for the patient. This type of fracture occurs at the lower end of the upper arm bone, the humerus, and can result in significant pain, swelling, and loss of function if not managed properly. The primary goals of treatment for a distal humerus fracture are to restore the normal alignment and stability of the bone, facilitate healing, and preserve the range of motion and function of the elbow joint. The specific treatment approach will depend on the severity and pattern of the fracture, as well as the individual patient's age, activity level, and overall health status. In the case of a closed fracture, where the skin is intact and the bone has not broken through the skin, the initial management may involve immobilization of the arm in a splint or sling, followed by further evaluation and imaging studies to determine the extent of the injury. Depending on the findings, the next step may be either non-operative treatment, such as casting or bracing, or surgical intervention. Surgical treatment for a distal humerus fracture typically involves open reduction and internal fixation (ORIF), where the bone fragments are realigned and stabilized using plates, screws, or other hardware. This procedure is often necessary to restore the normal anatomy and biomechanics of the elbow joint, which is crucial for regaining full range of motion and function. The recovery process following a distal humerus fracture can be lengthy and challenging, often requiring extensive physical therapy and rehabilitation to regain strength, flexibility, and coordination. Patients may need to wear a cast or splint for several weeks, followed by a gradual transition to more active exercises and activities. It is important for patients with a distal humerus fracture to work closely with their healthcare team, including orthopedic surgeons, physical therapists, and occupational therapists, to develop a comprehensive treatment plan and ensure the best possible outcome. With proper management and a dedicated rehabilitation program, many patients are able to return to their normal activities and enjoy a good quality of life after a distal humerus fracture.