title: [Fractures of the head and tuberosities of the humerus: treatment of malposition (author's transl)].
abstract: Fractures of the head and tuberosities of the humerus combine "horizontalisation" with impaction of the head of the humerus into the cortical funnel of the upper metaphysis which then forms a "buffer" with a sub-acromial "camshaft effect". In addition, there may be a subjacent metaphyseal comminution or even a split in the head. These various factors render surgical treatment difficult, when it is sought to restore normal anatomical conditions by osteosynthesis, with uncertain anatomical and functional results because of the double risk of early separation of the fragments and of secondary necrosis. There exists the possibility of operation vis a transdeltoid approach which combines resection of the cortical cuff and lateral transposition with bringing down of the capsulo-tendinous layer. This simple technique has the advantage of almost invariably offering a satisfactory functional result.
mesh_terms: D006801:Humans; D012784:Shoulder Fractures / Q000145:classification / Q000601:surgery* / Q000628:therapy; D013997:Time Factors; D014945:Wound Healing
vernacular_title: Fractures céphalo-tubérositaires de l'humérus: traitement des cals vicieux.