Abstract
Isolated fractures of the greater tuberosity with significant displacement require reduction and fixation to prevent poor outcomes. Arthroscopic fixation allows for a minimally invasive approach while also allowing assessment of the glenohumeral joint and treatment of concomitant pathology. Small or comminuted fractures can be fixated using suture techniques. Postoperative rehabilitation is similar to that of a rotator cuff repair. With appropriate surgical technique, good clinical outcomes can be obtained.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bono CM, Renard R, Levine RG, Levy AS (2001) Effect of displacement of fractures of the greater tuberosity on the mechanics of the shoulder. J Bone Joint Surg Br 83(7):1056–1062
Carrera EF, Matsumoto MH, Netto NA, Faloppa F (2004) Fixation of greater tuberosity fractures. Arthroscopy 20(8):e109–e111
Geissler WB, Petrie SG, Savoie FH (1994) Arthroscopic fixation of greater tuberosity fractures of the humerus (abstract). Arthroscopy 10:344
Green A, Izzi J Jr (2003) Isolated fractures of the greater tuberosity of the proximal humerus. J Shoulder Elb Surg 12(6):641–649
Ji JH, Kim WY, Ra KH (2007) Arthroscopic double-row suture anchor fixation of minimally displaced greater tuberosity fractures. Arthroscopy 23(10):1133.e1–1133.e4
Ji JH, Shafi M, Song IS, Kim YY, McFarland EG, Moon CY (2010) Arthroscopic fixation technique for comminuted, displaced greater tuberosity fracture. Arthroscopy 26(5):600–609
Kim KC, Rhee KJ, Shin HD, Kim YM (2008) Arthroscopic fixation for displaced greater tuberosity fracture using the suture-bridge technique. Arthroscopy 24(1):120.e1–120.e3
Kim SH, Ha KI (2000) Arthroscopic treatment of symptomatic shoulders with minimally displaced greater tuberosity fracture. Arthroscopy 16(7):695–700
Lee SU, Jeong C, Park IJ (2012) Arthroscopic fixation of displaced greater tuberosity fracture of the proximal humerus. Knee Surg Sports Traumatol Arthrosc 20(2):378–380
Lin CL, Hong CK, Jou IM, Lin CJ, Su FC, Su WR (2012) Suture anchor versus screw fixation for greater tuberosity fractures of the humerus—a biomechanical study. J Orthop Res 30(3):423–428
Martinez AA, Calvo A, Domingo J, Cuenca J, Herrera A (2010) Arthroscopic treatment for malunions of the proximal humeral greater tuberosity. Int Orthop 34(8):1207–1211
Platzer P, Kutscha-Lissberg F, Lehr S, Vecsei V, Gaebler C (2005) The influence of displacement on shoulder function in patients with minimally displaced fractures of the greater tuberosity. Injury 36(10):1185–1189
Platzer P, Thalhammer G, Oberleitner G, Kutscha-Lissberg F, Wieland T, Vecsei V, Schai PA, Hintermann B, Koris MJ (1999) Preoperative arthroscopic assessment of fractures about the shoulder. Arthroscopy 15(8):827–835
Rath E, Alkrinawi N, Levy O, Debbi R, Amar E, Atoun E (2013) Minimally displaced fractures of the greater tuberosity: outcome of non-operative treatment. J Shoulder Elb Surg 22(10):e8–e11
Song HS, Williams GR Jr (2008) Arthroscopic reduction and fixation with suture-bridge technique for displaced or comminuted greater tuberosity fractures. Arthroscopy 24(8):956–960
Taverna E, Sansone V, Battistella F (2004) Arthroscopic treatment for greater tuberosity fractures: rationale and surgical technique. Arthroscopy 20(6):e53–e57
Yin B, Moen TC, Thompson SA, Bigliani LU, Ahmad CS, Levine WN (2012) Operative treatment of isolated greater tuberosity fractures: retrospective review of clinical and functional outcomes. Orthop 35(6):e807–e814
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Huish, E.G., Srikumaran, U. (2019). Arthroscopic Treatment of Greater Tuberosity Fractures of the Proximal Humerus. In: Doral, M., Karlsson, J., Nyland, J., Benedetto, K. (eds) Intraarticular Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-97602-0_12
Download citation
DOI: https://doi.org/10.1007/978-3-319-97602-0_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-97600-6
Online ISBN: 978-3-319-97602-0
eBook Packages: MedicineMedicine (R0)