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Fixation of the greater tuberosity

It is the surgeons preference whether to use 3.5 mm cannulated lag screws or small fragment screws.

It is the surgeons preference whether to use 3.5 mm cannulated lag screws (as illustrated) or small fragment screws.

Note: Washers might be advisable with osteoporosis or fragmentations. Generally, they are not preferable as they make the screw heads more prominent and may result in shoulder impingement.