Fig. 1

Combined diaphyseal and olecranon fracture. Superficial skin laceration next to the portal of Neviaser. A 1 cm skin-incision is made in the triangle between the clavicle, acromion and scapula spine. A Kirschner wire is advanced to the zenith of the humeral head (a). Once the entry point on the humeral head is established a canulated awl is advanced splitting the supraspinatus muscle fibres longitudinally and opening the the humeral head (b). With the awl in place the Kirschner wire is replaced by a longer guide (c) wire which is then used to advance the straight nail (d). Clinical and radiological follow-up 10 weeks after surgery (e)