title: The extended deltoid-splitting approach to the proximal humerus: variations and extensions.
abstract: Fractures and nonunions of the proximal humerus are increasingly treated by open reduction and internal fixation. The extended deltopectoral approach remains the most widely used for this purpose. However, it provides only limited exposure of the lateral and posterior aspects of the proximal humerus. We have previously described the alternative extended deltoid-splitting approach. In this paper we outline variations and extensions of this technique that we have developed in the management of further patients with these fractures.
authors.affiliation: The Edinburgh Shoulder Clinic, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom. c.mike.robinson@ed.ac.uk
authors.forename: C M
authors.initials: CM
authors.lastname: Robinson
authors.forename: I R
authors.initials: IR
authors.lastname: Murray
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D057645:Deltoid Muscle / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D005599:Fractures, Ununited / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D056888:Patient Positioning / Q000379:methods; D012086:Reoperation; D012784:Shoulder Fractures / Q000601:surgery*; D016896:Treatment Outcome