Not recommended for B3.3 fractures enlarge

These fractures involve a glenohumeral dislocation. 

Once the dislocation is reduced the fracture pattern may be reassessed and appropriate treatment may be planned. If closed reduction is not successful (which is highly likely), an open reduction through a deltopectoral (anterior) approach is required. With either closed or open reduction, screw fixation is an option.

Closed screw fixation of the lesser tuberosity is not recommended.