Anatomical reduction and stable fixation, best provided by angular stable plating, should be considered as the first choice for patients with satisfactory bone quality and higher functional expectations.
A deltopectoral approach is almost always required for glenohumeral reduction.
In some cases, neurovascular compromise results from fracture fragment displacement. If this is the case, emergency treatment is necessary. Otherwise, definitive reduction and fixation can be done after suitable preparations, but without prolonged delay.
If open treatment will be delayed, closed reduction of the glenohumeral dislocation can be attempted.