Open AccessTwo-level reconstruction of isolated fracture of the lesser tuberosity of the humerus
Author(s) -
Vasileios S. Nikolaou,
Dimitrios Chytas,
Evangelos Tyrpenou,
George C. Babis
Publication year - 2014
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v2.i6.219
Subject(s) - medicine , greater tuberosity , humerus , fracture (geology) , surgery , fixation (population genetics) , orthodontics , population , geotechnical engineering , environmental health , engineering
Fractures of the lesser tuberosity of the humerus are typically met in combination with other injuries of the shoulder. Case reports of isolated lesser tuberosity fractures are particularly rare and, consequently, therapeutic protocols have not yet been completely clarified. Conservative as well as surgical treatment has been recommended, while several operative techniques have been applied. We present a case of a 39-year-old man with an isolated lesser tuberosity fracture who was treated surgically in our institution. Due to fracture comminution, a two-level reconstruction technique with headless screws and buttress plate was applied. As far as we know, this method of fixation of this type of fracture has not been previously described in the literature. The patient tolerated the procedure well and excellent results were obtained at the latest follow-up.