Using Plate Osteosynthesis to Treat Isolated Greater Tuberosity Fractures

Am J Orthop (Belle Mead NJ). 2015 Aug;44(8):E248-51.

Abstract

Isolated greater tuberosity fractures make up a small subset of proximal humerus fractures. We conducted a study to evaluate the radiologic and clinical outcomes of patients who underwent a novel use of plate osteosynthesis in the treatment of displaced greater tuberosity fractures. Eleven consecutive patients with a displaced greater tuberosity fracture were treated. Mean age at surgery was 60.3 years old (range, 37-71 years). Mean follow-up was 27 months (range, 16-44 months). All 11 patients experienced radiographic union. Three of the 11 had a loss of anatomical reduction. Mean Penn Shoulder Score was 79, and mean Single Assessment Numeric Evaluation score was 72. At most recent follow-up, mean forward elevation was 147°, and mean external rotation was 25°. Plate osteosynthesis is a novel technique for the treatment of displaced greater tuberosity fractures. This technique resulted in excellent fracture reduction, a 100% union rate, minimal fracture migration, and good return of range of motion.

MeSH terms

  • Adult
  • Aged
  • Bone Plates*
  • Female
  • Follow-Up Studies
  • Fracture Fixation, Internal / methods*
  • Humans
  • Male
  • Middle Aged
  • Radiography
  • Range of Motion, Articular
  • Retrospective Studies
  • Shoulder Fractures / diagnostic imaging
  • Shoulder Fractures / physiopathology
  • Shoulder Fractures / surgery*
  • Shoulder Injuries
  • Shoulder Joint / physiopathology
  • Shoulder Joint / surgery
  • Treatment Outcome