Patient Positioning - Synthes MultiLoc Proximal Humeral Nail Technique Manual

Patient Positioning

1
Position patient
Position the patient in a beach chair position on a radiolu-
cent table. Support the shoulder with pads and place the
fractured arm on an adjustable side table or arm rest. Ensure
that the arm can be sufficiently reclined to expose the
humeral head anterior to the acromion.
Ensure that the C-arm placement allows visualization of the
entire humerus in two planes, e.g., at the head of the patient
or contralateral to the injured arm.
A modified supine position on a completely radiolucent table
can also be used. Position the C-arm to allow visualization of
the entire humerus in the AP and lateral planes. Place the
C-arm opposite the surgeon, perpendicular to the longitudinal
axis of the humeral shaft in the AP view.
Obtain a scapular "Y" lateral view by bringing the C-arm
through a 90° arc and projecting the beam directly at the
glenoid.
10 Synthes MultiLoc Proximal Humeral Nail Technique Guide