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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
HUMERAL TUBEROSITY FRACTURES GLENOHUMERAL FRACTURES.SYNTHESIS, PROSTHESIS,ARTHROSCOPY: A COMPARISON OF DIFFERENT TECHNIQUES
Minerva Ortopedica e Traumatologica 2006 August;57(4):345-50
Arthroscopic treatment for greater tuberosity fractures: rationale and operative technique. Minimally displaced greater tuberosity fractures: why we treat them arthroscopically
Taverna E. 1, Sansone V. 2, Battistella F. 1, De Ponti A. 3
1 II Division of Shoulder Surgery Istituto Ortopedico Galeazzi, Milan, Italy
2 Clinic of Orthopedics Istituto Clinico Humanitas University of Milan, Milan, Italy
3 Division of Orthopedics IRCCS Ospedale San Raffaele, Milan, Italy
A description of a new technique for arthroscopic treatment of minimally displaced greater tuberosity fractures of the humerus and associated soft-tissue lesions is presented.
This kind of fracture is usually treated by nonoperative means. However, recent evidences suggest that even a small amount of superior displacement may produce shoulder dysfunction and require a perfect surgical reduction and fixation. Moreover, any displaced fracture of the greater tuberosity presents a high rate of associated and largely undetected soft tissue lesions. To avoid to underestimate accompanying soft-tissue pathology, arthroscopic assessment before open treatment of greater tuberosity fractures has been suggested. In 2 earlier case-reports we described the use of arthroscope not only to diagnose and treat respectively a rotator cuff tear and a Bankart lesion associated to a minimally displaced greater tuberosity fracture but also to reduce and treat arthroscopically the fracture as well. With advancement in arthroscopic ability and equipment we refined and systematized our original arthroscopic technique that we have been routinely employing since 1997 and that herein we present.