Jayakumar P, et al. - Factors associated with limitations in function, measured by patient-reported outcome measures (PROMs), six to nine months after a proximal humeral fracture were investigated. Researchers invited 177 adult patients who sustained an isolated proximal humeral fracture to complete PROMs at their initial outpatient visit within one week of injury, between two and four weeks, and between six to nine months after injury. As per the multivariable analysis, the strongest predictors of limitations at six to nine months were Kinesiophobia measured within a week of injury and self-efficacy measured between two and four weeks. They noted similar findings with other types of PROM. Overcoming fears of movement or reinjury within a week after injury and greater self-efficacy (developing resilience and more effective coping strategies) within a month may improve recovery from a proximal humeral fracture. Enhanced communication skills and cognitive behavioural treatments may modify such factors. These findings may assist in managing patients with fractures via enhancing the routine assessment and treatment of psychological and social factors.