Introduction: Proximal humerus fracture patterns being mainly distributed bimodally differentiating between young male and elderly female patients due to high energy trauma like vehicle accident and osteoporosis respectively. The broad majority of proximal humeral fractures are handled non-operatively but few critical fractures need surgery. The purpose of this study was to describe a modified deltoid splitting approach with axillary nerve bundle mobilization in the treatment of proximal humeral fractures and to assess its clinical outcomes.