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Principles

Introduction

Anatomical fracture reduction, provisional K-wire fixation, and stable plating are appropriate for simple 2- or 3-part fractures. If the lesser tuberosity is fractured it may require suture fixation, with possibility of plating the surgical neck.

Use the deltopectoral incision for open glenohumeral or lesser tuberosity reduction. Anterolateral or transdeltoid approaches offer less invasive access to the greater tuberosity, chosen according to fracture location.