![]() Non-displaced or minimally displaced fractures may be treated conservatively by immobilizing the limb in an orthosis for three weeks. Nevertheless, in elderly patients with advanced bone loss, in whom anatomical reduction of bone fragments is difficult or impossible, stabilization questionable and patient cooperation in the postoperative rehabilitation impossible to enforce, arthroplasty should be considered. Both methods produce comparable results enabling bone union and restoration of limb functionality. Among all currently used methods of stabilization of proximal humeral fractures, the best outcomes are afforded by angularly-stable plate fixation and interlocking or reconstructive intramedullary nailing. They rank among the most frequent fractures in adults, with incidence increasing with age and the degree of bone loss (osteoporosis). Following surgical treatments, rehabilitation will be required to help restore full range of movement.įrom the available evidence, non-surgical treatments have better outcomes when compared to surgical treatments.Comminuted fractures of the proximal humerus impair shoulder function, resulting in more or less severe disability. Surgical approaches depend on the degree of injury to the tendon and the type of fracture of the bone. These may be offered as open surgery or through arthroscopic treatments. Surgical treatment may be offered in patients who do not recover with non-surgical methods. Most cases recover well with non-surgical treatment, especially if the fractured fragment is displaced less than 5 mm from its original position. The rehabilitation program primarily consists of exercises that will help strengthen the muscles around the joint and will advise the patient how to avoid movements that will prevent re-injury. Non-surgical treatment involves placing the arm in a sling for up to 3 weeks to allow the shoulder to heal, followed by a rehabilitation program. Treatments can be non-surgical or surgical in nature. How is Fracture of the Greater Tuberosity treated? MRI scans are also a useful test and may be performed if further information is needed. In such cases, a CT scan may be performed that will provide a clearer picture of the shoulder joint and the state of the muscles around them. X-ray of the shoulder can help make a diagnosis, but most cases are missed on x-ray. Patients may experience pain along these nerves and even muscle weakness. The fracture site is close to the axillary nerve and suprascapular nerves, which are nerves that supply the muscles of the arm and the back. There may be swelling around the site of fracture, and the joint is tender to the touch. Patients have difficulty performing regular tasks and experience pain when lifting up their arm or moving the shoulder, thus limiting their range of motion. The patient usually complains of pain at the site of fracture. The force of dislocation can tear away the tendons taking the greater tuberosity with it. Another cause for fracture is anterior dislocation of the shoulder. This can result in a comminuted fracture which involves the bone being shattered into a number of small pieces. The most common cause for fracture of the greater tuberosity is fall onto the shoulder. What causes Fracture of the Greater Tuberosity? Non-surgical treatments are effective and rehabilitation programs are usually effective in helping restore full range of motion and function. The greater tuberosity is a part of the upper end of the humerus bone that forms a site for attachment of muscles that form the rotator cuff (supraspinatus, infraspinatus and teres minor).įracture of the greater tuberosity occurs following a fall onto the shoulder or following a dislocation. ![]() What is a Fracture of the Greater Tuberosity?
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |