Percutaneous screw fixation of isolated fractures of the greater tuberosity of the humerus
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Background: The unacceptable treatment outcome of the isolated greater tuberosity fracture of the humerus mainly due to missed diagnosis, ignorance, or when be trivialized. Patients and Methods: Twelve patients with isolated, displaced fracture of the greater tuberosity of the humerus were treated with closed reduction and percutaneous fixation using one or two screws. The indication for surgery was 3 - 5 mm of displacement in any plane in a mean fragment without comminution. The cause of injury was sports in three patients, motor car accidents in five patients, and hyper abduction-external rotation of the shoulder during a fall in four patients. Results: Radiographic union of the tuberosity was seen in all fractures. There was no heterotopic bone formation in any patient. Functional results were excellent in 8 patients (Constant score: 90.5%), good in 2 patients (Constant score: 81.5%) and satisfactory in 2 patients (Constant score: 70 %). All patients were satisfied with the outcome and the overall mean Constant score was 85.5%. Conclusion: Closed reduction and percutaneous fixation of large displaced fragment greater tuberosity fracture of the proximal humerus is a good technique providing stable fixation and less or no soft tissue complications as infection, muscle weakness, and adhesions. The technique should be done by experienced surgeon with intra-operative fluoroscopy. The screw is better used with washer for not to damage the fragment during compression.
Authors and Affiliations
Reda H Elkady, Nagi Fuda
Keywords
Related Articles
- EP ID EP481459
- DOI 10.22271/ortho.2017.v3.i4d.36
- Views 88
- Downloads 0
Maximising stability after revision hip arthroplasty for vancouver B periprosthetic fractures
Objectives: The risk of hip dislocation after revision total hip arthroplasty can be as high as 27% following surgery for periprosthetic fractures. A novel technique described by the senior authors in 2015, involving a t...
Comparative analysis of clinical features and radiological outcome of neuropathic ulcers in a diabetic foot
Background: Neuropathic osteoarthropathy (NO) commonly referred to as Charcot Foot, in patients with Diabetes mellitus, is a condition in which the bones, joints, and soft tissues of the foot and ankle are affected and i...
Total hip replacement the ideal joint for failed osteosynthesis of hip fractures
Introduction: Most proximal femoral fractures are successfully treated with internal fixation but a failed surgery can be very distressing for the patient due to pain and disability. For the treating surgeon it can be a...
A clinical radiological and arthroscopic correlation in various shoulder pathologies: A prospective study
Shoulder pain is one of the most common complaint in medical practice and often leads to significant disabilities. Spectrum of etiologies that can give rise to shoulder pain are acute trauma to a gamut of degenerative di...
Operative versus conservative treatment in displaced mid shaft fractures of clavicle: A retrospective comparative study
Background: Clavicle fractures are common, with an overall incidence of 36.5 – 64 per 100,000 people every year. Traditionally, midshaft clavicle fractures have been treated nonoperatively. Recently, there has been incre...