Akademik Veri Yönetim Sistemi
29. SICOT YSIM, Kuala-Lumpur, Malezya, 5 - 06 Ekim 2024, ss.159, (Tam Metin Bildiri)
INTRODUCTION: Isolated greater tuberosity fractures are rare compared to other proximal humeral fractures, with surgical
treatment being even less frequent. This case report aims to evaluate the effectiveness of surgical
intervention, the surgical technique employed, and the outcomes in treating an isolated greater tuberosity
fracture. Additionally, it aims to provide a literature review based on this case.
CASE REPORT: A 59-year-old female presented with a fall onto her right shoulder, resulting in extensive bruising, pain, and restricted
movement. Radiological assessments indicated an isolated greater tuberosity fracture with the fragment displaced
posterosuperiorly. The patient underwent open reduction and fixation with cannulated screws. Post-surgery, a shoulder
sling without a pillow was used, and passive elbow and pendulum exercises were initiated. Follow-up evaluations focused
on joint range of motion and functional status, with strengthening exercises added at six weeks. By the third month, the
patient demonstrated 5/5 strength in the rotator cuff muscles and a pain-free 180-degree range of motion.
DISCUSSION:Isolated greater tuberosity fractures are rare, with treatment decisions hinging on the displacement degree. CT scans are
more reliable than plain radiographs in showing fracture displacement. Posterior superior displacement is linked to impaired
function and worse outcomes. If the fragment is not fixed, rotator cuff functionality may be compromised. Surgical
treatment is suitable, especially in cases with displacement.
CONCLUSION : Consistent with literature findings, our patient
achieved favorable outcomes post-surgery
without needing additional rotator cuff repair.
This case underscores the importance of
surgical approach and early postoperative
rehabilitation in treating isolated greater
tuberosity fractures.