Approach - Synthes MultiLoc Proximal Humeral Nail Technique Manual

Approach

2
Infraspinatus muscle
Approach
Perform an anterolateral approach. Begin the incision at the
Acromion
anterolateral tip of the acromion and carry it distally over
Supraspinatus muscle
the deltoid muscle. Split the deltoid muscle at the tendinous
intersection between the anterior and the middle third along
its fibers and retract it.
In complex fractures, a better view may be achieved by
partially detaching the deltoid muscle from the anterior
border of the acromion.
Caution: Do not extend the approach too far distally, to
Greater tuberosity
prevent iatrogenic injury of the axillary nerve. The nerve may
be identified by gentle palpation or careful dissection. A stay
suture may be placed, to prevent further extension of the
Deltoid muscle
incision.
MultiLoc Proximal Humeral Nail Technique Guide Synthes 11