Although very rare, it may be possible to successfully do a closed reduction of the glenohumeral joint for a patient with a C3.2 fracture. Such a patient may not be an acceptable candidate for surgical repair. In this case, nonoperative management of the anatomical neck fracture is appropriate, accepting risk of redislocation, nonunion, and/or avascular necrosis. Alternatively, in the very frail elderly patient, one might choose to accept the dislocation without even attempting a closed reduction. If the patient is a surgical candidate, unsuccessful closed reduction should be followed by prompt open reduction, almost always with fracture fixation.

Supporting indications

  • Successful closed glenohumeral reduction
  • Patient not a candidate for surgery

Advantages

  • No operative risks
  • No anesthetic risks

Disadvantages

  • Risk of redislocation
  • Risk of nonunion
  • Risk of avascular necrosis