Surgical Discussion

Patient positioning:  The patient was positioned prone on the operating table to facilitate access to the posterior aspect of the humerus.

Anatomical surgical approach:  A longitudinal incision was made along the posterior aspect of the arm. The triceps muscle was carefully retracted laterally, sparing its insertion, to expose the humeral shaft. Subperiosteal dissection was performed to visualize the fracture site while maintaining awareness of the axillary and radial nerves.

The surgeon emphasized the importance of understanding the anatomy of the axillary and radial nerves when performing a posterior approach to the humerus. The approach allowed for adequate exposure of the humerus from the surgical neck to the distal articular surface, enabling effective fracture fixation.

Postoperative protocol:   Postoperative rehabilitation included early mobilization with range of motion exercises initiated as tolerated. Weight-bearing restrictions were applied based on fracture stability and fixation.

Follow up:   Not specified.

Orthopaedic implants used:   Orthopaedic implants used were not specified in the provided information.