- Technique for Surgical Neck Frx:
- use 2.5 mm terminally threaded AO Schanz pins;
- following appropriate reduction, one pin is inserted thru lateral
arm, at a point 8 cm distal to acromion in order to avoid
axillary nerve;
- second pin is inserted parallel to the first;
- third pin is inserted to form a triangular configuration;
- finally a fourth pin is inserted from greater tuberosity to
medial humeral shaft;
-
ref:
- Surgical Neck Fractures of the Proximal Humerus: A Laboritory Evaluation
of Ten Fixation Techniques.
KJ Koval MD, B Blair MD, R Takei MD, FJ Kummer PhD, and JD Zuckerman MD.
J. Orthop. Trauma. Vol 40, No 5, 1996, p778.
--------------------------------
The Management of Severely Displaced Fractures of the Proximal Humerus in Children.
Tech Orthop. 1989; 4(3): 1-4.
Beebe AC and Bell DF
Closed percutaneous K-wire stabilization for displaced fractures of the
surgical neck of the humerus.
Percutaneous fixation of three- and four-part fractures of the proximal humerus.