In some cases neurovascular compromise results from the dislocated humeral head. If this is the case, emergency treatment is necessary. If not, definitive reduction and fixation should not be long delayed, particularly if one wishes to salvage the humeral head.

Open reduction and angular stable plate osteosynthesis is the currently favored for C3.1 fractures. 

Supporting indications

  • Fracture instability
  • Bone quality suitable for internal fixation

Advantages

  • Preservation of humeral head
  • Possibility for delayed arthroplasty
  • Exposure available from open glenohumeral reduction

Disadvantages

  • Risk of fixation failure
  • Risk of avascular necrosis
  • Technically demanding