Shoulder fractures are the third most common non-vertebral osteoporosis-related fractures, following hip and wrist fractures. The incidence of fractures and surgeries varies greatly between countries and healthcare centers, and accurate information about the incidence and prevalence of these fractures is crucial for making informed clinical decisions. Reporting of valid epidemiological data relies on the coverage and completeness of data. This chapter provides an overview of the epidemiological data on patients with shoulder fractures, challenging the widely accepted statement that 85% of shoulder fractures are minimally displaced. A core responsibility in orthopedics is the prevention of additional major osteoporotic fractures, especially those of the hip. The current epidemiological evidence underscores the urgent need for secondary fracture prevention in older people with shoulder fractures, making this an issue that needs to be addressed.