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Proximal Humeral Fractures: Closed Reduction Percutaneous Pin Fixation

Jones, Clifford B. MD, FACS*,†,‡

doi: 10.1097/BTO.0000000000000037
Invited Review Articles

Closed reduction percutaneous pin fixation of proximal humeral fractures is a skill dependent upon minimal soft tissue disruption, closed reduction knowledge, reduction quality, pin placement, bone quality, patient compliance, and physical therapy protocols. This technique is highly technician-dependent and imaging-dependent. Several tricks and tips are required to avoid complications historically related to this technique. Despite more modern implants evolving and gaining popularity, closed reduction percutaneous pin is still a reliable, predictable, and useful technique in select proximal humeral fractures.

*Orthopaedic Associates of Michigan

Van Andel Research Institute, Grand Rapids

Michigan State University/CHM, Grand Rapids, MI

Grant funding to the institution: NIH, OTA, METRC, and DOD.

C.B.J. is a partial owner of Midtowne Surgical ASC.

Address correspondence and reprint requests to Clifford B. Jones, MD, FACS, 230 Michigan NE, Suite 300, Grand Rapids, MI 49503. E-mail:

© 2013 by Lippincott Williams & Wilkins