Fig. 6

Preoperative anterior–posterior (AP) radiograph (A) and three-dimensional computed tomography (3D CT) reconstruction (B) of a shoulder revealing a 4-part PHF with comminuted medial cortex. Postoperative AP (C) and outlet view (D) radiographs and 3D CT reconstruction (E) of the shoulder revealing favorable head-shaft alignment, despite the medial cortex remaining obviously displaced. Three months postoperatively, the AP (F) and outlet view (G) radiographs and 3D CT reconstruction (H) of the shoulder revealed fracture healing without obvious reduction loss. Six (I) and 12 (J) months postoperatively, AP radiographs of the shoulder revealed firm healing of the displaced medial cortex to the humeral shaft and remolding over time