Isolated fracture of the lesser tuberosity of the humerus – a rare injury that requires surgical treatment

Author:

Glisic Miodrag1,Stevanovic Vladan1ORCID,Jevtic Aleksandar1,Jovicevic Uros2,Jankovic Ivan3

Affiliation:

1. Institute for Orthopedic Surgery “Banjica”, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia

2. General Hospital Užice, Department of Orthopedics and Traumatology, Užice, Serbia

3. General Hospital Užice, §Department of Radiology, Užice, Serbia

Abstract

Introduction. An isolated fracture of the small tuberosity is a very rare injury that can often be overlooked. That injury is significant due to the function of the subscapularis muscle, which loses its attachment by separating the small tuberosity. Case report. A 45-year-old male, former athlete, suffered a left shoulder injury while falling downhill. Although the clinical picture was not convincing, a computed tomography scan showed a fracture. Open repositioning and osteosynthesis were performed. After rehabilitation, the patient regained a full active range of motion in the shoulder joint three months after the operation. We present the mechanism of injury, clinical picture, necessary diagnostics, and technique of surgical treatment of isolated fracture lesser tuberosity of the humerus. The results of other authors whose series are also quite small were analyzed. Conclusion. It was concluded that an isolated fracture of the small tuberosity requires surgical treatment to preserve a good range of motion in the shoulder joint.

Publisher

National Library of Serbia

Subject

Pharmacology (medical)

Reference23 articles.

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2. Robinson CM, Teoh KH, Baker A, Bell L. Fractures of the lesser tuberosity of the humerus. J Bone Joint Surg Am 2009; 91(3): 512-20.

3. Streubel PN, Sanchez-Sotelo J, Steinmann SP. Proximal Humeral Fractures. In: Buchholz RW, Court-Brown CM, Heckman JD, Tornet P, editors. Rockwood and Green’s Fractures in Adults. Philadelphia: Lippincott Williams and Wilkins; 2015. P. 1341-427.

4. Kanso I, Bricout JM. Isolated avulsion fracture of the lesser tuberosity of the humerus. Apropos of a case. Rev Chir Orthop Reparatrice Appar Mot 1998; 84(6): 554-7. (French)

5. Vezeridis PS, Bae DS, Kocher MS, Kramer DE, Yen YM, Waters PM. Surgical treatment for avulsion injuries of the humeral lesser tuberosity apophysis in adolescents. J Bone Joint Surg Am 2011; 93(20): 1882-8.

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