Anterior Screw - Synthes MultiLoc Proximal Humeral Nail Technique Manual

Optional technique: Anterior screw (level C)
If the anterior screw (lesser tuberosity) is used, make a small
incision with blunt dissection of the soft tissues. Then insert the
second trocar assembly through the anterior aiming arm.
Caution: Ensure that the tip of the trocar touches the tip of
the lesser tuberosity. This helps to prevent irritation of the
long biceps tendon or the ascending branch of the anterior
circumflex artery through the anterior screw (lesser tuberosity).
Slightly rotate the nail if needed.
Note: Ensure that the lesser tuberosity is large enough to
accommodate a MultiLoc screw. If not, consider other means of
fixation, such as smaller independent screws or osteosuturing.
MultiLoc Proximal Humeral Nail Technique Guide Synthes 21