PMID: 9555840Apr 29, 1998Paper

Fractures of the greater tuberosity presenting as rotator cuff abnormality: magnetic resonance demonstration

The Journal of Trauma
W R Reinus, S F Hatem

Abstract

To show that magnetic resonance imaging (MRI) can be useful to diagnose radiographically invisible greater tuberosity fractures in patients with clinical presentations suspicious for rotator cuff injury. Six patients with subtle greater tuberosity fractures who were sent for MRI because of possible rotator cuff tear are reviewed (age range, 27-51 years; mean, 40.5 +/- 8.4 years). Five of the patients recount direct trauma to their shoulders, whereas one noticed shoulder pain after a fall in which she fractured her ankle. MRI showed an area of edema confined to the greater tuberosity with linear low signal extending through the tuberosity consistent with a fracture in all cases. Although five patients had a complete set of shoulder radiographs before MRI, these were interpreted as normal in all cases. Full-thickness rotator cuff tears were not present in any of the cases. All of the patients were treated conservatively with good results. MRI can prevent unnecessary arthroscopy in patients clinically suspected of rotator cuff damage by showing subtle fractures of the greater tuberosity not visible on radiographs.

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Citations

Dec 15, 2010·Der Orthopäde·S Greiner, M Scheibel
Feb 8, 2008·International Orthopaedics·S GuminaF Postacchini
Oct 16, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Eduardo F CarreraFlavio Faloppa
Mar 7, 2006·Journal of Shoulder and Elbow Surgery·Christian BahrsMichael Schnabel
Dec 13, 2003·Journal of Shoulder and Elbow Surgery·Andrew Green, Joseph Izzi
Jun 6, 2015·Radiologic Clinics of North America·Scott Tyson, Stephen F Hatem
Nov 15, 2016·Current Sports Medicine Reports·Danielle L CummingsJeffrey D Quinlan
Oct 12, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S H Kim, K I Ha
Oct 6, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Michael S George
Sep 2, 2018·BMC Musculoskeletal Disorders·Umile Giuseppe LongoPhilip Michael Ahrens
Feb 20, 2007·Clinical Orthopaedics and Related Research·Robert A GalloGregory T Altman

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