page: 1/3 next

Reduction and preliminary fixation

Reduction of the humeral head may be possible with digital pressure without open exposure.

Reduction of the humeral head

Reduction of the humeral head may be possible with digital pressure without open exposure. If this is unsuccessful, one could use a periosteal elevator or a bone hook inserted into the glenohumeral joint through a small incision of the rotator cuff.

Prolonged attempts at closed reduction are not encouraged. Proceed with open reduction through an anterior shoulder arthrotomy. For a description of the anterior shoulder arthrotomy see the deltopectoral approach.

One or two threaded pins in the humeral head may be used as “joy-sticks”, to aid the reduction.