Surgical Treatment of Displaced Greater Tuberosity Fractures of the Humerus

被引：74

作者：

Rouleau, Dominique M. ^{[1
]}

Mutch, Jennifer ^{[2
]}

Laflamme, Georges-Yves ^{[1
]}

机构：

[1] Hop Sacre Coeur, Montreal, PQ H4J 1C5, Canada

[2] Univ Montreal, Montreal, PQ, Canada

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2016年 / 24卷 / 01期

关键词：

PROXIMAL HUMERUS; INTEROBSERVER RELIABILITY; NONOPERATIVE TREATMENT; SHOULDER DISLOCATION; COMPUTED-TOMOGRAPHY; OPERATIVE TREATMENT; INTERNAL-FIXATION; PLAIN RADIOGRAPHY; 3-PART FRACTURES; 3-DIMENSIONAL CT;

D O I：

10.5435/JAAOS-D-14-00289

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Greater tuberosity fractures of the humerus can be successfully treated nonsurgically in most patients. However, as little as 3 to 5 mm of superior greater tuberosity displacement may adversely affect rotator cuff biomechanics and lead to subacromial impingement in patients who are active. In these cases, surgical treatment is recommended. Multiple surgical techniques include open and arthroscopic options tailored to fracture morphology, and strategies for repair include the use of suture anchors, transosseous sutures, tension bands, and plates/screws. Three classification systems are commonly used to describe greater tuberosity fractures: the AO, Neer, and morphologic classifications. Several hypotheses have been discussed for the mechanism of greater tuberosity fractures and the deforming forces of the rotator cuff, and the use of advanced imaging is being explored.

引用

页码：46 / 56

页数：11

共 50 条

[41] A simple and effective implant for displaced fractures of the greater tuberosity: the "Bamberg" plate [J].