Modified extra rotator-cuff entry point in antegrade humeral nailing.

Introduction: We describe an extra-articular, extra-rotator cuff entry point for antegrade humeral nailing, which preserves the articular surface and rotator cuff integrity.

Material And Methods: Thirty-two patients with humeral shaft fractures underwent antegrade intramedullary nailing using a modified insertion point located 1 cm below the crest of the greater tuberosity, in a region outside the articular surface and rotator cuff area.

Results: In all cases, nailing was done successfully, without any perforation of the humeral inner cortex by the nail.