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Wheeless' Textbook of Orthopaedics
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Percutaneous Pinning of Proximal Humeral Frx



- 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.







Original Text by Clifford R. Wheeless, III, MD.