Distal humerus fractures are not as frequently encountered as other fractures in the human body. Although their diagnosis is easy, the decision to choose the treatment method is not, and their treatment is difficult which mostly requires high level of experience. Confronted with these fractures which demonstrate a bimodal age distribution, the differences in both young and older patients should be taken into account while planning the treatment. Since a significant increase in osteoporotic distal humerus fractures is expected concordant with the increase in elderly population in the coming years, the realization of the correct diagnosis and treatment of these complex fractures demanding experience is extremely important. In this article, the basic information related with distal humerus fractures and clinical attitude to these cases were summarized according to the relevant and up-to-date literature.