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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

   
   


The Management of Severely Displaced Fractures of the Proximal Humerus in Children. Beebe AC and Bell DF. Tech Orthop. 1989;4(3): 1-4.   

Early intrathoracic migration of Kirschner wires used for percutaneous osteosynthesis of a two-part humeral neck fracture: a case report.

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.

THE RESULTS OF SURGICAL TREATMENT FOR DISPLACED PEDIATRIC PROXIMAL HUMERUS FRACTURES

Intermediate Outcomes Following Percutaneous Fixation of Proximal Humeral Fractures