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4Surgical technique for two- or three-part fracture

Osteotomy of the greater tuberosity

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

Perform an osteotomy of the greater tuberosity. Again, start at the deepest point of the bicipital groove and tilt the osteotome posteriorly parallel to the greater tuberosity. Crack the greater tuberosity off with a gentle twist of the osteotome. Incise the remaining posterior capsule and release the greater tuberosity. Remove any remaining cartilage if present.