TA Al-Sadek1* and AAl-Sadek2
1Trakia University, Medical college - Stara Zagora, Bulgatria
2UMHAT Tsaritsa Joanna- ISUL, Department of Orthopedics and Traumatology- Sofia, Bulgaria
*Corresponding Author: TA Al-Sadek, Trakia University, Medical college - Stara Zagora, Bulgatria.
Received: February 20, 2023; Published: March 27, 2023
Background and Purpose: Fractures of the greater tuberosity of humerus account for one fifth of all fractures affecting the proximal ⅓ of humerus. Although a displacement of 3-5 mm in fractured greater tuberosity indicates surgical intervention, less displaced tuberosities can be managed nonoperatively in young athletes as well as more displacement in older groups. Surgical modalities include ORIF using plate and screws, fragment excision, and percutaneous fixation.
Patients and Methods: We performed a prospective interventional study involved 20 patients with isolated greater tuberosity fractures of the humerus. Divided equally into 10 in each group, conservative and operative management. The follow-up images were assessed for radiographic healing. For the objective assessment, the DASH score was used.
Results: We have twenty patients with un-displaced isolated greater tuberosity fracture; divided equally into ten in each group; conservative and operative. The mean age in conservative group 37.7 and in operative 36.9 with statistically non-significant difference. Male patients represented 60% and 70% within conservative and operative groups respectively. There is statistically non-significant difference between studied groups regarding range of motion. Four patient (40%) had anterior shoulder dislocation within operative group. The median DASH score of operative group 13.49, while it was 20.83 within conservative group.
Conclusion: Un-displaced greater tuberosity fractures can be treated without surgery with good outcome; however there are indications for surgical interventional with benefit of provides early return to life activity as it enhance early union.
Keywords: Greater Tuberosity; Fractures; Humerus
Citation: TA Al-Sadek and AAl-Sadek. “Comparative Study between Operative and Conservative Treatment of Un-Displaced Isolated Greater Tuberosity Fracture of the Humerus”.Acta Scientific Orthopaedics 6.4 (2023): 70-75.
Copyright: © 2023 TA Al-Sadek and AAl-Sadek. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.