Master the treatment of complex shoulder injuries. This training offers a technical immersion into the approach for segmental humeral fractures associated with glenoid and coracoid process fractures, utilizing a single deltopectoral approach.

Training Focus:

• Surgical management of segmental humeral fracture.
• Fixation of anterior glenoid rim fracture.
• Stabilization of coracoid process fracture.
• Utilization of a single deltopectoral approach for multiple injuries.
• Osteosynthesis with intramedullary nail and cerclage in the humerus.
• Screw fixation in the glenoid and coracoid.

Detailed Content:

• Optimized Deltopectoral Approach: Methodology for identifying the cephalic vein and deltopectoral dissection, allowing simultaneous approach to complex shoulder injuries with muscle preservation and reduced morbidity.
• Segmental Humeral Reconstruction: Systematic approach for identifying fracture apices, reducing the proximal segment, and fixing with an intramedullary nail and proximal screws, complemented by cerclage, for stability and anatomical restoration.
• Precise Glenoid Fixation: Incision technique and separation of the subscapularis from the joint capsule for exposure and reduction of the glenoid fragment, with insertion of guide wires and screws to ensure articular congruence and stability.
• Coracoid Stabilization: Demonstration of coracoid process fixation, secured to the conjoined tendon, with a compression screw.
• Anatomical Closure and Complication Prevention: Protocols for capsule and subscapularis suture, and deltopectoral approach closure to minimize postoperative bleeding and hematoma, optimizing functional outcome.

Included Material:

• Detailed PDF: The PDF complements the video training, addressing the practical description of the procedure for segmental humeral, glenoid, and coracoid process fractures. It details the deltopectoral approach, the steps for humeral approach and fixation with nail and cerclage, the technique for glenoid fixation with screws, and coracoid stabilization, in addition to anatomical closure, highlighting key points of each step for an optimized functional result.

Enhance your skills in the treatment of complex shoulder fractures. Enroll now and master the essential techniques for the reconstruction of segmental humeral, glenoid, and coracoid fractures.