Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Surgical Treatment of Displaced Greater Tuberosity Fractures of the Humerus

Rouleau, Dominique M. MD, MSc, FRCSC; Mutch, Jennifer MD, MSc, FRCSC; Laflamme, Georges-Yves MD, FRCSC

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: January 2016 - Volume 24 - Issue 1 - p 46–56
doi: 10.5435/JAAOS-D-14-00289
Review Article

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.

From Hôpital du Sacré-Coeur de Montréal (Dr. Rouleau and Dr. Laflamme) and the Université de Montréal (Dr. Mutch), Montréal, Quebec, Canada.

Dr. Rouleau or an immediate family member is a member of a speakers’ bureau or has made paid presentations on behalf of Smith & Nephew; has received research or institutional support from DePuy, Kinetic Concepts, Smith & Nephew, Stryker, Synthes, and Zimmer; and has received nonincome support (such as equipment or services), commercially derived honoraria, or other non-research–related funding (such as paid travel) from Arthrex. Dr. Laflamme or an immediate family member serves as a paid consultant to Stryker. Neither Dr. Mutch nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article.

© 2016 by American Academy of Orthopaedic Surgeons
You currently do not have access to this article

To access this article:

Note: If your society membership provides full-access, you may need to login on your society website