{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:46:23Z","timestamp":1778503583232,"version":"3.51.4"},"reference-count":36,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2011,3,1]],"date-time":"2011-03-01T00:00:00Z","timestamp":1298937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:p> 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. <\/jats:p>","DOI":"10.1302\/0301-620x.93b3.25818","type":"journal-article","created":{"date-parts":[[2011,3,1]],"date-time":"2011-03-01T22:09:34Z","timestamp":1299017374000},"page":"387-392","source":"Crossref","is-referenced-by-count":24,"title":["The extended deltoid-splitting approach to the proximal humerus"],"prefix":"10.1302","volume":"93-B","author":[{"given":"C. M.","family":"Robinson","sequence":"first","affiliation":[{"name":"The Edinburgh Shoulder Clinic, Royal Infirmary of Edinburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I. R.","family":"Murray","sequence":"additional","affiliation":[{"name":"The University of Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SU, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Robinson CM, Page RS. Severely impacted valgus proximal humeral fractures: results of operative treatment. J Bone Joint Surg [Am] 2003;85-A:1647\u201355.","DOI":"10.2106\/00004623-200309000-00001"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31815b3922"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Neer CS. Displaced proximal humeral fractures. I: classification and evaluation. J Bone Joint Surg [Am] 1970;52-A:1077\u201389.","DOI":"10.2106\/00004623-197052060-00001"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70278-9"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Flatow EL, Cuomo F, Maday MG, et al. Open reduction and internal fixation of two-part displaced fractures of the greater tuberosity of the proximal part of the humerus. J Bone Joint Surg [Am] 1991;73-A:1213\u201318.","DOI":"10.2106\/00004623-199173080-00011"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1097\/00132589-200312000-00007"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B2.0830213"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1007\/BF02620461"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Cetik O, Uslu M, Acar HI, et al. Is there a safe area for the axillary nerve in the deltoid muscle? a cadaveric study. J Bone Joint Surg [Am] 2006;88-A:2395\u20139.","DOI":"10.2106\/00004623-200611000-00011"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(09)80014-1"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3180ce833e"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Robinson CM, Page RS. Severely impacted valgus proximal humeral fractures. J Bone Joint Surg [Am] 2004;86-A(Suppl 1(Pt 2)):143\u201355.","DOI":"10.2106\/00004623-200409001-00005"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Robinson CM, Aderinto J. Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg [Am] 2005;87-A:639\u201350.","DOI":"10.2106\/00004623-200503000-00026"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B4.17195"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Robinson CM, Akhtar A, Mitchell M, Beavis C. Complex posterior fracture-dislocation of the shoulder: epidemiology, injury patterns, and results of operative treatment. J Bone Joint Surg [Am] 2007;89-A:1454\u201366.","DOI":"10.2106\/00004623-200707000-00009"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Gardner MJ, Griffith MH, Dines JS, et al. The extended anterolateral acromial approach allows minimally invasive access to the proximal humerus. Clin Orthop 2005;434:123\u20139.","DOI":"10.1097\/01.blo.0000152872.95806.09"},{"key":"R17","unstructured":"Gardner MJ, Griffith MH, Dines JS, Lorich DG. A minimally invasive approach for plate fixation of the proximal humerus. Bull Hosp Jt Dis 2004;62:18\u201323."},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000246412.10176.14"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181589f8c"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(78)90003-6"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8635(18)30625-9"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B5.22849"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200044010-00004"},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(96)90161-7"},{"key":"R25","doi-asserted-by":"crossref","unstructured":"Hue E, Gagey O, Mestdagh H, et al. The blood supply of the deltoid muscle: application to the deltoid flap technique. Surg Radiol Anat 1998;20:161\u20135.","DOI":"10.1007\/BF01628888"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200612000-00007"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199602000-00002"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(99)90002-2"},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Muller ME, Allgower M, Schneider R, Willenegger H, eds. Manual of internal fixation: techniques recommended by the AO-ASIF Group. Third ed. New York: Springer, 1991.","DOI":"10.1007\/978-3-662-02695-3"},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2005.06.038"},{"key":"R31","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.03.023"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.03.029"},{"key":"R33","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3180333094"},{"key":"R34","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.05.031"},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(00)00150-9"},{"key":"R36","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.74B4.1624516"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B3.25818","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.93B3.25818","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.93B3.25818","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:02:01Z","timestamp":1629140521000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.93B3.25818"}},"subtitle":["VARIATIONS AND EXTENSIONS"],"short-title":[],"issued":{"date-parts":[[2011,3]]},"references-count":36,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,3]]}},"alternative-id":["10.1302\/0301-620X.93B3.25818"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.93b3.25818","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3]]}}}