{"product_id":"proximal-humerus-case-07-head-split-in-a-young-patient-with-plate-and-screws","title":"Proximal Humerus [Case 07] - Head-Split in a Young Patient with Plate and Screws","description":"\u003cdiv dir=\"auto\" class=\"notion-selectable notion-text-block\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"x78zum5\"\u003e\n\u003cdiv id=\":rbm:\" class=\"content-editable-leaf-rtl\" spellcheck=\"true\" placeholder=\"\"\u003eThis orthopedic trauma learning case presents the operative reasoning for a complex proximal humerus fracture with four-part morphology and head-split characteristics involving the glenohumeral joint surface. The case emphasizes the decision-making process behind attempting osteosynthesis rather than proceeding directly to arthroplasty, based on fracture personality and patient-specific considerations discussed in the operative narration.\u003c\/div\u003e\n\u003cdiv\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv dir=\"auto\" class=\"notion-selectable notion-text-block\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"x78zum5\"\u003e\n\u003cdiv id=\":rbn:\" class=\"content-editable-leaf-rtl\" spellcheck=\"true\" placeholder=\"\"\u003eThe educational focus is on surgical exposure through the deltopectoral interval, identification of key anatomical landmarks, careful soft-tissue handling, and the use of high-strength sutures to control the rotator cuff and tuberosity fragments. The procedure demonstrates how the long head of the biceps, bicipital groove, subscapularis, supraspinatus, and infraspinatus can be used as orientation and manipulation references during reduction.\u003c\/div\u003e\n\u003cdiv\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv dir=\"auto\" class=\"notion-selectable notion-text-block\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"x78zum5\"\u003e\n\u003cdiv id=\":rbo:\" class=\"content-editable-leaf-rtl\" spellcheck=\"true\" placeholder=\"\"\u003eA major teaching point is the creation of a functional proximal fragment block by linking the greater and lesser tuberosities with sutures, allowing the surgeon to manipulate the proximal humeral segment more predictably during reduction. The case also discusses challenges created by varus impaction, limited visualization, retractors, and the need to balance exposure with preservation of reduction mechanics.\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv dir=\"auto\" class=\"notion-selectable notion-sub_header-block\"\u003e\n\u003cdiv\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv dir=\"auto\" class=\"notion-selectable notion-sub_header-block\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003ch3 id=\":rbq:\" class=\"content-editable-leaf-rtl\" spellcheck=\"true\" placeholder=\"Heading 2\"\u003eINCLUDED CONTENT\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv dir=\"auto\" class=\"notion-selectable notion-bulleted_list-block\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"x78zum5\"\u003e\n\u003cdiv id=\":rbr:\" class=\"content-editable-leaf-rtl\" spellcheck=\"true\" placeholder=\"List\"\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based operative narration translated and adapted for English-language medical education\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eDiscussion of fracture morphology and joint involvement\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eDeltopectoral approach walkthrough\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eAnatomical landmark identification\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eSoft-tissue dissection and exposure strategy\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eLong head of biceps identification and tenotomy sequence as described in the case\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eRotator cuff suture placement for reduction control\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eTuberosity linkage strategy using high-strength sutures\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eReduction mechanics using a 'marionette' concept with multiple suture limbs\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eTechnical considerations related to retractors, arm positioning, abduction, and rotation\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv dir=\"auto\" class=\"notion-selectable notion-sub_header-block\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003ch3 id=\":rc5:\" class=\"content-editable-leaf-rtl\" spellcheck=\"true\" placeholder=\"Heading 2\"\u003eTARGET AUDIENCE\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv dir=\"auto\" class=\"notion-selectable notion-bulleted_list-block\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"x78zum5\"\u003e\n\u003cdiv id=\":rc6:\" class=\"content-editable-leaf-rtl\" spellcheck=\"true\" placeholder=\"List\"\u003e\n\u003cul\u003e\n\u003cli\u003eOrthopedic trauma surgeons\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eShoulder and elbow surgeons\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eOrthopedic surgery residents and fellows\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eTrauma fellows\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eMedical educators teaching proximal humerus fracture management\u003c\/li\u003e\n\u003cli\u003e\n\u003cmeta charset=\"utf-8\"\u003eOperating room professionals involved in orthopedic trauma education\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv dir=\"auto\" class=\"notion-selectable notion-sub_header-block\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003ch3 id=\":rcc:\" class=\"content-editable-leaf-rtl\" spellcheck=\"true\" placeholder=\"Heading 2\"\u003eEDUCATIONAL NOTICE\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv dir=\"auto\" class=\"notion-selectable notion-text-block\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"x78zum5\"\u003e\n\u003cdiv id=\":rcd:\" class=\"content-editable-leaf-rtl\" spellcheck=\"true\" placeholder=\"\"\u003eThis content is intended for medical and surgical education only. It does not provide individualized medical advice, does not replace formal surgical training, and does not guarantee any clinical outcome. All procedural decisions must be made by qualified healthcare professionals using appropriate clinical judgment, institutional protocols, imaging review, and patient-specific evaluation. Human expert review is required before educational or clinical use.\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43693659684925,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/FraturaDiafisariadoUmero-TratamentocomHasteIntramedular_result.webp?v=1790613219","url":"https:\/\/surgie.com\/pt-br\/products\/proximal-humerus-case-07-head-split-in-a-young-patient-with-plate-and-screws","provider":"Surgie","version":"1.0","type":"link"}