The elbow is a trochoginglymoid joint that is, biomechanically speaking, one of the most complex ones in the human body. The incidence of distal humerus fractures has a bimodal peak, with the first one being in the age of twelve to nineteen years and the other in the age over eighty. Distal humerus fractures in younger people are usually caused by high energy injuries, such as car accidents. In older people, who are also more exposed to fractures due to osteoporosis, distal humerus fractures are usually caused by low energy trauma, such as falling from a standing height. According to the AO classification of distal humerus fractures, type A fractures are the most common fracture type, second ones being type B fractures and the least common fracture type being type C fractures. Distal humerus fractures can be treated nonoperatively and operatively. Nonoperative treatment is rarely recommended for younger patients. It is most commonly used when the patients have a high risk of developing complications from a surgical procedure. It can also be used to treat fractures with no dislocation. Nonoperative management techniques include above-elbow cast, elbow braces and supports, olecranon traction, and collar and cuff treatment, the so called “bag of bones” method. Operative managment is the most common way to treat distal humerus fractures. Fractures with injuries to the vascular or neural structures must be operated immediately. It is important to take a precise patient's history to find out as much as possible about the injury mechanism. Fracture type is determined with the use of an x-ray image of the fractured bone. Open reduction and internal fixation with the use of plates to keep the joint stable are useful for early active movement in the joint to keep its function and mobility. Nowadays, there are many tools used for operating on the distal humerus, such as cortical and cancellous screws, LC-DC plates and LCPs. To prevent postoperative stiffness and pain, early active joint movement is the key to keeping the joint functioning and stable.