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Principles

Introduction

The displaced greater tuberosity must be reduced and fixed stably. The metaphyseal fracture may be left impacted, unless severe deformity must be corrected. This disimpacts the metaphyseal fracture, which will be fixed with the plate.

For longer plates consider a deltopectoral incision. Otherwise, choose anterolateral or transdeltoid approach according to which is closest to the patient’s tuberosity fracture.