Missed fractures of the greater tuberosity

BMC Musculoskeletal Disorders
Umile Giuseppe LongoPhilip Michael Ahrens

Abstract

Fractures of the greater tuberosity may result from a variety of mechanisms. Missed injury remains a persistent problem, both from a clinical and medico-legal point-of-view. Few studies on this topic are available in the literature. We present the clinical and radiological findings of a consecutive series of 17 patients who were diagnosed and managed with undisplaced greater tuberosity fractures. A retrospective study of a consecutive series of 17 patients who sustained an occult greater tuberosity fracture were performed. Patients sustained a traumatic occult greater tuberosity fracture, underwent shoulder radiographs after trauma in 5 days and they were diagnosed as negative by a consultant radiologist. All patients received a standard assessment using MRI (Magnetic Resonance Imaging) scans Each patient was evaluated for arm dominance, trauma history, duration and type of symptoms and post-treatment Oxford Shoulder Score. At the final follow up the mean OSS (Oxford Shoulder Score) was 38.3 (range 17-46; SD 9.11). Three patients required a glenohumeral joint injection for post-traumatic pain and stiffness and three patients required subacromial decompression for post-traumatic impingement. Though undisplaced greater tuberosity...Continue Reading

References

Sep 30, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Eugene KimChung Hwan Kim
Feb 5, 2008·Injury·Konrad I GrusonNirmal C Tejwani
Feb 8, 2008·International Orthopaedics·S GuminaF Postacchini
Nov 11, 2010·Archives of Orthopaedic and Trauma Surgery·Umile Giuseppe LongoVincenzo Denaro
Aug 9, 2011·Sports Medicine and Arthroscopy Review·Umile Giuseppe LongoVincenzo Denaro
Aug 9, 2011·Sports Medicine and Arthroscopy Review·Umile Giuseppe LongoVincenzo Denaro
Oct 12, 2011·Medicine and Sport Science·Umile Giuseppe LongoVincenzo Droena
Dec 21, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Umile Giuseppe LongoVincenzo Denaro
Jan 17, 2012·Journal of Shoulder and Elbow Surgery·Angelo Del BuonoNicola Maffulli
Dec 10, 2016·Archives of Orthopaedic and Trauma Surgery·Umile Giuseppe LongoVincenzo Denaro

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