Outcome following fractures of the greater tuberosity of the humerus: A retrospective study
Shoulder & Elbow Jul 19, 2019
Unnithan A, et al. - Forty-eight (28 men and 20 women) subjects (mean age 45 years) who were treated between 1999 and 2009 were recruited in a retrospective study and analyzed by the researchers in order to understand how variations with respect to the injury and subsequent management influenced patient outcomes. A notably better results were observed in post-fixation displacement of the greater tuberosity fragment of <5 mm than displacement >5 mm. Subjects who had undergone a surgery >2 weeks following the initial injury had a markedly worse outcome in comparison to those who had surgery in <2 weeks. However neither of the variables were proved as statistically important, subjects with shoulder dislocation had worse outcome in contrast to those with no dislocation and rotator cuff tears were also correlated with worse outcome scores than those without. Hence, if there was a delay in surgical fixation of >2 weeks and post-fixation displacement of >5 mm, isolated fractures of the greater tuberosity had a worse outcome.
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