Transosseous fixation of displaced proximal humeral fracture. A, Sutures placed through drill holes in medial and lateral aspects of humeral diaphysis (HD). Black arrows (just below HD) indicate drill holes in diaphysis. GT, Greater tuberosity; LT, lesser tuberosity; HH, humeral head. B, Just before tying of knots there is adequate reduction and balance of involved rotator cuff tendons. Fracture site has been closed, and both tuberosities have been placed below articular margin of humeral head. Note cruciate configuration of sutures. C, Final suture configuration.