Skip to main content

Arthroscopic Treatment of Greater Tuberosity Fractures of the Proximal Humerus

  • Chapter
  • First Online:
Intraarticular Fractures
  • 678 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

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

    Article  CAS  Google Scholar 

  • Carrera EF, Matsumoto MH, Netto NA, Faloppa F (2004) Fixation of greater tuberosity fractures. Arthroscopy 20(8):e109–e111

    Article  Google Scholar 

  • Geissler WB, Petrie SG, Savoie FH (1994) Arthroscopic fixation of greater tuberosity fractures of the humerus (abstract). Arthroscopy 10:344

    Google Scholar 

  • Green A, Izzi J Jr (2003) Isolated fractures of the greater tuberosity of the proximal humerus. J Shoulder Elb Surg 12(6):641–649

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Kim SH, Ha KI (2000) Arthroscopic treatment of symptomatic shoulders with minimally displaced greater tuberosity fracture. Arthroscopy 16(7):695–700

    Article  CAS  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Taverna E, Sansone V, Battistella F (2004) Arthroscopic treatment for greater tuberosity fractures: rationale and surgical technique. Arthroscopy 20(6):e53–e57

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Uma Srikumaran .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

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)

Publish with us

Policies and ethics