{"product_id":"proximal-humerus-case-08-plate-fixation-via-deltopectoral-approach","title":"PROXIMAL HUMERUS | Plate Fixation Via Deltopectoral Approach - CASE 08","description":"\u003cp\u003eThis orthopedic trauma learning case presents the operative reasoning for a four-part proximal humerus fracture with varus displacement, approached through a deltopectoral interval. The description follows key educational steps including patient positioning in the beach-chair position, skin marking based on the coracoid process and deltoid contour, identification of the deltopectoral interval, controlled exposure of the proximal humerus, and safe placement of retractors guided by digital palpation.\u003c\/p\u003e\n\u003cp\u003eThe case highlights the role of arm positioning in exposure, including abduction to relax the deltoid and internal or external rotation to access different tendon structures. It also reviews the identification and management of the long head of the biceps, the relationship of the bicipital groove to rotational alignment, and the use of high-strength sutures in the subscapularis, supraspinatus, and infraspinatus to assist with fracture manipulation.\u003c\/p\u003e\n\u003cp\u003eReduction concepts are discussed with attention to the lateral fracture keys, the medial calcar region, the correction of varus alignment, provisional Kirschner wire fixation, plate positioning approximately lateral to the bicipital groove, and screw trajectory considerations within the humeral head. The material is intended for educational review and procedural reasoning rather than as a substitute for supervised surgical training or institutional protocols.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based operative walkthrough\u003c\/li\u003e\n\u003cli\u003eDeltopectoral approach anatomy\u003c\/li\u003e\n\u003cli\u003eBeach-chair positioning and arm positioning concepts\u003c\/li\u003e\n\u003cli\u003eExposure strategy for the proximal humerus\u003c\/li\u003e\n\u003cli\u003eIdentification of the long head of the biceps and rotator interval anatomy\u003c\/li\u003e\n\u003cli\u003eDiscussion of tuberosity displacement forces\u003c\/li\u003e\n\u003cli\u003eRotator cuff suture traction principles\u003c\/li\u003e\n\u003cli\u003eReduction reasoning for varus displacement\u003c\/li\u003e\n\u003cli\u003eProvisional fixation with Kirschner wires\u003c\/li\u003e\n\u003cli\u003ePlate placement and screw trajectory considerations\u003c\/li\u003e\n\u003cli\u003eEducational safety reminders regarding periosteal preservation and soft-tissue handling\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eOrthopedic trauma surgeons\u003c\/li\u003e\n\u003cli\u003eOrthopedic residents and fellows\u003c\/li\u003e\n\u003cli\u003eShoulder and upper-limb surgery trainees\u003c\/li\u003e\n\u003cli\u003eMedical students with an interest in musculoskeletal trauma\u003c\/li\u003e\n\u003cli\u003eSurgical educators reviewing proximal humerus fracture fixation techniques\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is intended for medical education and procedural discussion only. It does not replace formal surgical training, clinical judgment, institutional protocols, or supervision by qualified professionals. Any clinical application requires appropriate patient evaluation, imaging review, informed consent, and mandatory review by trained medical specialists.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 09113704-14b1-4a2a-bcb6-89dede37b4e6 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":44215998087229,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Capturadetela2026-09-10015052_result.webp?v=1793569963","url":"https:\/\/surgie.com\/pt-br\/products\/proximal-humerus-case-08-plate-fixation-via-deltopectoral-approach","provider":"Surgie","version":"1.0","type":"link"}