Fracture of the Greater Tuberosity of the Humerus with Deltopectoral Approach

Master the treatment of displaced humeral greater tuberosity fractures, even in cases with prolonged evolution and the presence of fibrosis. This training offers a technical immersion in anatomical reconstruction using a deltopectoral approach, locking plate, and high-strength sutures, aiming for superior stabilization and favorable functional and aesthetic results.

Training Focus:

• Surgical treatment of displaced humeral greater tuberosity fractures.
• Direct reduction in cases with prolonged evolution and fibrosis.
• Deltopectoral approach for exposure and reconstruction.
• Osteosynthesis with an anatomical locking plate.
• Use of high-strength sutures for complementary stabilization.

Detailed Content:

• Strategic Positioning: Methodology for positioning the patient with head elevation and arm abduction to optimize deltoid relaxation and facilitate access.
• Deltopectoral Approach Delimitation: Techniques for palpation of the coracoid process and identification of the deltopectoral interval for precise surgical access.
• Preserving Dissection: Blunt approach to maintain the integrity of muscle fibers and fascia, minimizing bleeding and tissue aggression.
• Fibrosis Management: Strategies for efficient removal of fibrosis at the fracture site, allowing identification and mobilization of the fragment for anatomical reduction.
• Fragment Exposure and Reduction: Techniques for arm rotation and retractor placement for adequate exposure of the greater tuberosity and achievement of reduction.
• Optimized Provisional and Definitive Fixation: Sequence of provisional fixation with Kirschner wire and application of an anatomical locking plate, including contouring to avoid prominence and techniques for inserting cortical and locking screws.
• Stabilization with Sutures: Methodology for performing supraspinatus sutures with high-strength wires and tapes through the plate for bone-to-bone stabilization and reinforcement of the osteosynthesis.
• Superior Clinical Results: Demonstration of surgical results with preservation of anatomy, clean access without muscle aggression, and aesthetic suturing.

Included Material:

• Detailed PDF: This objective document covers everything from patient positioning and the deltopectoral surgical approach, through fibrosis removal, exposure techniques, provisional reduction and fixation, to the placement of a locking plate and high-strength sutures for definitive osteosynthesis of the humeral greater tuberosity fracture. It includes a practical summary of the procedure steps and a description of the expected results.

Enhance your skills in shoulder trauma surgery. Enroll now and master advanced techniques in humeral greater tuberosity fracture reconstruction.