Surgical Treatment of Displaced Greater Tuberosity Fractures of the Humerus

@article{Rouleau2016SurgicalTO,
  title={Surgical Treatment of Displaced Greater Tuberosity Fractures of the Humerus},
  author={Dominique M Rouleau and Jennifer A J Mutch and G. Yves Laflamme},
  journal={Journal of the American Academy of Orthopaedic Surgeons},
  year={2016},
  volume={24},
  pages={46–56}
}
Greater tuberosity fractures of the humerus can be successfully treated nonsurgically in most patients. However, as little as 3 to 5 mm of superior greater tuberosity displacement may adversely affect rotator cuff biomechanics and lead to subacromial impingement in patients who are active. In these cases, surgical treatment is recommended. Multiple surgical techniques include open and arthroscopic options tailored to fracture morphology, and strategies for repair include the use of suture… 
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35 Citations
Highly Influential Citations
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35 Citations

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Citation Type

Arthroscopic Management of Displaced Greater Tuberosity Fractures
Isolated greater tuberosity fractures of the proximal humerus: anatomy, injury patterns, multimodality imaging, and approach to management
TLDR
Greater tuberosity anatomy and function is reviewed, as well as the clinical presentation and multimodality imaging findings of greater tuberosity fractures will also be discussed.
An alternative technique for greater tuberosity fractures: use of the mesh plate
TLDR
A viable alternative treatment option for the surgical management of isolated greater tuberosity fractures using a mesh plate that can be contoured to the patient’s anatomy is identified and surgeons should be aware of this option for select patients.
Surgical Management of Comminuted, Displaced Greater Tuberosity Fractures: A New Technique of Subacromial Spacer on Top of Double-Row Suture Anchor Fixation
TLDR
The concept is to leverage the advantage of the compression effect of the subacromial spacer to prevent displacement of the GT fracture and allow early active shoulder rehabilitation, especially in comminuted or eggshell fractures when rigid fixation is not feasible.
Arthroscopic reduction and fixation for displaced greater tuberosity fractures using the modified suture-bridge technique
TLDR
Early follow-up outcomes of the arthroscopic modified suture-bridge technique used for avulsion or comminuted GT fractures are promising and can be used as one of the therapeutic modalities for GT fractures.
Arthroscopic reduction and fixation of greater tuberosity fractures of the humerus
TLDR
Arthroscopic reduction and fixation of displaced GT fractures is a feasible minimally invasive procedure for optimal fracture healing and patients satisfaction.
[Arthroscopic fracture treatment of the shoulder joint].
TLDR
The access morbidity, particularly the integrity of the subscapularis muscle in glenoid and scapular fractures, must be mentioned as an advantage of a minimally invasive approach.
Biomechanical Analysis of the Fixation Strength of a Novel Plate for Greater Tuberosity Fractures
TLDR
The FEM model indicated that the strength of the Kaisidis plate exceeded that of the proposed maximum loads under non-cycli loading conditions, and indicated the most critical points of theKaisidis system are the screws that are connected to the bone.
Augmented cerclage wire improves the fixation strength of a two-screw construct for humerus split type greater tuberosity fracture: a biomechanical study
TLDR
The current biomechanical cadaveric study demonstrated that the two-screw fixation construct augmented with a cerclage wire has higher mechanical performance than the conventional two-Screw configuration for the fixation of humeral GT fractures.
A new biomechanical classification system for split fractures of the humeral greater tuberosity: guidelines for surgical treatment
TLDR
Bomechanical classification of split fractures of the humeral greater tuberosity is a reliable method of categorising these fractures in order to decide surgical treatment and will be a useful to guide the choice of surgical technique.
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References

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TLDR
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TLDR
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TLDR
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TLDR
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