Identify the axillary nerve by palpating on the undersurface of the deltoid muscle. This helps protect it during plate insertion.
Insert the plate, assembled on an aiming device, under the deltoid muscle, and slide it distally under the deltoid and along the humerus. Always keep the plate in contact with bone.
Pearl: suturing the deltoid muscle To prevent extending the deltoid muscle split and increasing risk of axillary nerve injury, place a suture at the distal end of the split.