Open reduction and plate osteosynthesis is the currently favored technique for C2.1 fractures.

Supporting indications

  • CCD angle > 160°
  • Greater tuberosity displacement > 5 mm
  • Young active patient


  • Tension band suturing of the rotor cuff possible
  • Possibility to treat associated injuries


  • Risk of damage to the axillary nerve depending on the approach chosen
  • Risk of secondary loss of reduction in cases of severe osteoporosis
  • Technically demanding