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4Surgical technique for two- or three-part fracture

Osteotomy of the lesser tuberosity

If the lesser tuberosity is still attached it must be detached.

Incise the rotator interval with scissors.

Perform an osteotomy of the lesser tuberosity; start at the deepest point of the bicipital groove. Crack the lesser tuberosity off with a gentle twist of the osteotome. Incise the remaining anterior capsule and release the lesser tuberosity. Remove any remaining cartilage if present.