Journal of Musculoskeletal Trauma

The Surgical Outcomes of Isolated Greater Tuberosity Fractures of the Proximal Humerus Fixed with the Spring Plate: Dong Ju Shin, Young Soo Byun, Se Ang Chang, Hee Min Yun, Ho Won Park, Jae Young Park; J Korean Fract Soc 2009;22(3):159-165. Published online July 31, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.3.159

PURPOSE
The purpose of this study was to evaluate the surgical outcomes of isolated greater tuberosity fractures of the proximal humerus fixed with the spring plates.
MATERIALS AND METHODS
Fourteen patients who could be followed up at least 1 year after the surgical treatment of isolated greater tuberosity fracture were evaluated. Their mean age was 51 years (range, 25~73 years). The deltopectoral approach and fixation with the spring plate were performed in all cases. The spring plate was used in all cases. In some circumstances, sutures incorporating the rotator cuff, interfragmentary screw or tension band wire were added. We evaluated the clinical outcomes using UCLA scoring system and KSS (Korean Shoulder Score).
RESULTS
The mean UCLA score was 29.8 and the mean KSS was 89.4. The average time of bony union was 10.2 weeks (range, 7~14 weeks) after the surgery, including 1 case that was performed the secondary operation due to metal failure. The shoulder stiffness were observed in 4 cases and one case of infection was treated well without operation.
CONCLUSION
In the treatment of isolated greater tuberosity fractures of the proximal humerus, the spring plates fixation can be a good surgical option providing reliable functional results.

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Outcomes of open reduction and internal fixation using 2.0/2.4 mm locking compression plate in isolated greater tuberosity fractures of humerus
Sung Choi, Dongju Shin, Sangwoo Kim, Byung Hoon Kwack
Journal of Musculoskeletal Trauma.2025; 38(1): 32. CrossRef

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The Surgical Outcomes for Isolated Greater Tuberosity Fracture of Proximal Humerus: Eun Sun Moon, Myung Sun Kim, Young Jin Kim; J Korean Fract Soc 2007;20(3):239-245. Published online July 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.3.239

Abstract PDF

PURPOSE
To evaluate the adequate surgical methods and postoperative rehabilitation by analyzing the outcome of surgical treatment for isolated greater tuberosity fracture of proximal humerus.
MATERIALS AND METHODS
Ten patients who allowed at least 1 year follow up after the surgical treatment of isolated greater tuberosity fractures were evaluated. Their mean age was 52.3 years (range, 28~67) and mean follow up duration was 23.8 months (range, 12~36). We choosed the different approaches and fixation methods according to size, location and presence of comminution of the fragment, and combined injury. The rehabilitation programs were indivisualized and we evaluated the clinical outcomes using UCLA and Constant scoring system.
RESULTS
According to the UCLA scoring system, 5 cases were excellent, 3 cases were satisfactory, and 2 cases were unsatisfactory. By the Constant scoring system, 8 cases were excellent and 2 cases were good. The average bony union time was 7.6 weeks (range, 6~8) except the 2 cases of revision surgery. Two cases were operated using cannulated screws alone, 3 cases using only nonabsorbable sutures and 5 cases using cannulated screws and nonabsorbable sutures. One out of two revision cases was developed from the negligence of preoperative shoulder anterior dislocation with rupture of subscapularis, and the other was caused by improper immobilization of the fracture site postoperatively.
CONCLUSION
Not only the adequate surgical approaches and the fixation methods according to the size and comminution of fragment, but also the identification of combined injuries were very important in the surgical treatment for the isolated greater tuberosity fracture. And we considered that the adequate postoperative rehabilitation and proper protection based on the intraoperative fixation stability play an important role for the better clinical and radiological outcomes.

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Clinical Features and Characteristics of Greater Tuberosity Fractures with or without Shoulder Dislocation
Dong-Wan Kim, Young-Jae Lim, Ki-Cheor Bae, Beom-Soo Kim, Yong-Ho Lee, Chul-Hyun Cho
Journal of the Korean Fracture Society.2018; 31(4): 139. CrossRef
The Surgical Outcomes of Isolated Greater Tuberosity Fractures of the Proximal Humerus Fixed with the Spring Plate
Dong-Ju Shin, Young-Soo Byun, Se-Ang Chang, Hee-Min Yun, Ho-Won Park, Jae-Young Park
Journal of the Korean Fracture Society.2009; 22(3): 159. CrossRef

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Radiologic assessment of the displacement of the greater tuberosity of the humerus: Jaedoo Yoo, Jangwoon Shon; J Korean Soc Fract 2001;14(2):223-227. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.223

Abstract PDF: PURPOSE
The purpose of this study is to evaluate the correlation between the amount of displacement of the greater tuberosity of the humerus and the that of the radiographic displacement.
MATERIALS AND METHODS
Dry bones of the scapula, humerus were fixed to the board. After cutting the greater tuberosity, the center of the lesser tuberosity, the anterior and inferior margin of the greater tuberosity fragment, the anterior edge of the bone defect at the greater tuberosity were marked with wire. The humerus were placed in the neutral position, 60 degree internal rotation, 15 degree external rotation, 45 degree abduction, 90 degree abduction. The radiographs were taken in the position of the 5, 10, 15, 20, 25mm posterior superior displacement of the fragment respectively.
RESULTS
The correlation coefficient between the amount of displacement of the greater tuberosity of the humerus and the that of the radiographic displacement were followings; 0.599(p=0.285) in the neutral anterior posterior view, 0.790(p=0.112) in the 60 degree internal rotation view, 0.522(p=0.367) in the 15 degree external rotation view, 0.290(p=0.635) in the 45 degree abduction axillary view, 90 degree abduction axillary view.
CONCLUSION
The 90 abduction axillary view was the most appropriate radiograph to evaluate the amount of displacement of the greater tuberosity of the humerus.

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