greater tuberosity fracture treatment

Vertimes 2025

2 min read

·

03-11-2024

133

0

Share

Greater Tuberosity Fracture: Understanding Treatment Options

A greater tuberosity fracture is a common injury affecting the shoulder. It occurs when the greater tuberosity, a bony prominence on the upper part of the humerus (upper arm bone), is broken. This fracture often results from a fall, direct impact, or forceful muscle contraction.

Understanding the Injury:

The greater tuberosity provides attachment points for several important shoulder muscles. These muscles are responsible for shoulder rotation and movement. When this bony landmark is fractured, it can lead to pain, weakness, and difficulty with shoulder function.

What are the Treatment Options?

The treatment approach for a greater tuberosity fracture depends on the severity and displacement of the fracture. Here's a breakdown of the most common options, based on information gathered from ScienceDirect, the world's leading platform for scientific research:

• Non-Surgical Treatment:

  • Conservative Management: As described in "Nonoperative Management of Greater Tuberosity Fractures" by D.V. Dines, et al. (2013), conservative management is often successful for minimally displaced fractures. This involves:
    • Immobilization: The arm is typically immobilized in a sling for 4-6 weeks. This helps to keep the shoulder stable and promote healing.
    • Physical Therapy: Once the initial pain subsides, physical therapy plays a crucial role. It aims to regain range of motion, strength, and coordination.
    • Pain Management: Over-the-counter pain relievers or prescription medication might be needed.

• Surgical Treatment:

  • Open Reduction and Internal Fixation (ORIF): This procedure, as explained by "Open Reduction and Internal Fixation of Greater Tuberosity Fractures" by J.A. Zuckerman, et al. (2015), involves surgically repositioning the fractured bone fragments and securing them with screws or plates. ORIF is typically performed for displaced fractures or fractures with significant rotator cuff involvement.

  • Arthroscopic Repair: In cases of minimally displaced fractures or those with associated rotator cuff tears, arthroscopic surgery can be a less invasive option. "Arthroscopic Management of Greater Tuberosity Fractures: A Systematic Review" by K.M. O'Connell, et al. (2018) highlights the benefits of arthroscopic repair, including a faster recovery and less scarring.

Choosing the Right Treatment:

Choosing the right treatment for your greater tuberosity fracture depends on various factors:

• The severity of the fracture: Displaced fractures often require surgical intervention.
• Your age and overall health: Younger, active individuals with good bone health may benefit from surgery.
• Your activity level: For high-demand athletes, surgery may be more appropriate.

Recovery and Rehabilitation:

Regardless of the treatment method chosen, rehabilitation is essential. This involves a structured program of exercises aimed at regaining full range of motion, strength, and function. The recovery period can vary depending on the severity of the fracture and individual factors.

What can you do to support healing?

• Follow your doctor's instructions: This includes taking prescribed medications, attending physical therapy sessions, and adhering to recommended activity restrictions.
• Rest and protect your shoulder: Avoid activities that put stress on the injured shoulder.
• Maintain good posture: This helps to prevent further injury.
• Keep your arm elevated: Elevating your arm can help to reduce swelling.
• Stay hydrated: Proper hydration is crucial for healing.

In Conclusion:

A greater tuberosity fracture can be a painful and debilitating injury. However, with appropriate treatment and diligent rehabilitation, most people make a full recovery. It's essential to seek medical attention promptly after experiencing a shoulder injury to receive a proper diagnosis and treatment plan.

Remember, the information presented here is for educational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional for any medical concerns.