Fracture of the Greater Tuberosity of the Humerus with Deltopectoral Approach

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

Training Focus:

• Surgical treatment of displaced fractures of the greater tuberosity of the humerus.
• Direct reduction in cases with prolonged evolution and fibrosis.
• Deltopectoral access for exposure and reconstruction.
• Anatomical locked plate osteosynthesis.
• 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 Access Delimitation: Palpation techniques 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 trauma.
• Fibrosis Management: Strategies for efficient removal of fibrosis at the fracture site, allowing for identification and mobilization of the fragment for anatomical reduction.
• Exposure and Reduction of the Fragment: Techniques for arm rotation and positioning of retractors for adequate exposure of the greater tuberosity and achieving reduction.
• Optimized Provisional and Definitive Fixation: Sequence of provisional fixation with Kirschner wire and application of anatomical locked plate, including modeling to avoid prominences and techniques for inserting cortical and locked 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 osteosynthesis.
• Superior Clinical Outcomes: Demonstration of surgical results with preservation of anatomy, clean access without muscle aggression, and aesthetic suturing.

Included Material:

• Detailed PDF: This objective document addresses everything from patient positioning and deltopectoral surgical access, through fibrosis removal, exposure techniques, provisional reduction and fixation, to the placement of a locked plate and high-strength screws for the definitive osteosynthesis of the greater tuberosity fracture of the humerus. It includes a practical summary of the procedure steps and a description of the expected outcomes.

Enhance your skills in shoulder trauma surgery. Enroll now and master advanced techniques in the reconstruction of greater tuberosity fractures of the humerus.