"X-ray fluoroscopy then demonstrated that the humeral head was reduced within the glenoid but there was a significant lesser tuberosity fracture. Therefore I proceeded to the open portion of the case. A deltopectoral approach was utilized, taken down through skin. I identified the cephalic vein and retracted that laterally. The interval between the deltoid and the pectoralis was exposed. Clavipectoral fascia deep to that was then exposed and incised and debrided. Fracture hematoma was identified. The lesser tuberosity fracture fragment was then identified and it was retracted medially. I then brought that into position with the overlying subscapularis. Once exposed I utilized a 5.0 mm titanium Bio corkscrew which obtained good purchase within the underside of the lesser tuberosity. This was pulled in order to ensure that it had appropriate purchase. It was double loaded and the suture limbs were then taken around the lesser tuberosity fracture fragment itself. They were then tied down securely fastening the lesser tuberosity fracture fragment into place."
Open Treatment of Lesser Tuberosity Fx?
I have been doing alot of research as far as apprenticeships, internships and externships and would like to get the opinions of other professionals in my field. As far as internships are concerned, I would like to know the DOs and Donts. Thank you all in advance, any and all opinions/recommendations are welcome.