Clinical and radiologic outcomes of arthroscopic suture bridge repair for the greater tuberosity fractures of the proximal humerus

Ji, Jong‐Hun; Jeong, Jong Ju; Kim, Young‐Yul; Lee, Se‐Won; Kim, Do-Yeol; Park, Sang-Eun

doi:10.1007/s00402-016-2586-6

Cited by 29 publications

(21 citation statements)

References 29 publications

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“…A few combination fractures have been reported in retrospective studies with the focus on either large operatively treated glenoid rim fractures [33,39,51] or refixed greater tuberosity fractures [17]. In two studies dealing with operative treatment of large anterior glenoid rim fractures, one fracture of the greater tuberosity was fixed percutaneously during the same operation and an additional greater tuberosity fracture and a proximal humerus fracture were treated by ORIF [33,51].…”

Section: Discussionmentioning

confidence: 99%

Combined fractures of the humeral head and the glenoid

et al. 2019

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Background. Glenohumeral combination fractures are severe shoulder injuries for which, however, few data are available in the literature. The aim of the study was to analyze the incidence and numeric distribution of glenohumeral combination fractures using a classification system. Furthermore, treatment methods and complications are discussed. Methods. This retrospective study is based on the data evaluation of a level I trauma center between 1998 and 2016. Glenohumeral combination fractures are classified into four types, and the incidence, treatment method, and complications are evaluated. Additionally, the fracture morphology and displacement of the different fracture types are analyzed.

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Section: Discussionmentioning

confidence: 99%

Combined fractures of the humeral head and the glenoid

et al. 2019

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“…12,13 Studies on arthroscopic-assisted GT fracture fixation are limited to individual case reports and case series. Kim and Ha 3 retrospectively reviewed 23 patients who underwent arthroscopic-assisted fixation of minimally displaced or nondisplaced GT fractures associated with at least 6 months of chronic shoulder pain.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Treatment of Greater Tuberosity Avulsion Fractures

Godin

Katthagen

Fritz

et al. 2017

Arthroscopy Techniques

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Isolated fractures of the greater tuberosity of the humerus are an uncommon and frequently missed diagnosis. Mistreated and unrecognized, these fractures can cause chronic pain and diminished shoulder range of motion and function. Operative treatment options include open reduction and internal fixation, as well as arthroscopic-assisted reduction and internal fixation. The purpose of this Technical Note is to describe a bridging arthroscopic technique for the treatment of bony avulsions of the supraspinatus tendon.

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“…The double-row suture-bridge has been widely used in clinic, which can effectively resist the traction of the supraspinatus and prevent the postoperative redisplacement of the greater tuberosity fragment [16,17]. However, this technique is more suitable for avulsion fractures of rotator cuff tendon attachment as well as rotator cuff tear [18].…”

Section: Comparison Of Load Values In Each Group In Two Traction Dirementioning

confidence: 99%

A Biomechanical Study of Double-row Suture-bridge and Double-screw Fixation Strength in Split-type Greater Tuberosity Fractures of the Humerus

Ma¹,

Zhang²,

Wang³

et al. 2020

Preprint

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Background: This study aimed to compare the fixation strength of double-row suture-bridge (DR) and double-screw (DS) fixation methods in treating split-type greater tuberosity fracture of the humerus.Methods: We established 24 fracture models of frozen pig shoulders with reserved supraspinatus, infraspinatus, and teres minor muscles. The specimens were randomly divided into two groups according to the fixation methods of double-row suture-bridge (group A) and double screws (group B). The loads of 3-mm displacement, 5-mm displacement, and fixation failure of each group were measured using a biomechanical device in both traction directions of the supraspinatus muscle (horizontal direction) and infraspinatus-teres minor muscles (vertical backward direction). Results: In the direction of supraspinatus traction, there was no statistical difference in the mean load values of 3-mm displacement, 5-mm displacement, and fixation failure in both groups (p > 0.05). In the direction of infraspinatus-teres minor traction, the mean load values of 3-mm displacement, 5-mm displacement, and fixation failure of double-screw fixation were greater than those of double-row suture-bridge fixation (p = 0.000). Conclusion: The fixation strength of double-screw suture-bridge and double screws were equivalent in the direction of the supraspinatus. However, the fixation strength of double-screw suture-bridge was less than that of double screws, indicating poor anti-rotation property. Double-screw suture-bridge fixation alone is not recommended to treat split-type greater tuberosity fracture with a large fragment.

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Clinical and radiologic outcomes of arthroscopic suture bridge repair for the greater tuberosity fractures of the proximal humerus

Abstract: Arthroscopic suture bridge repair was useful for the treatment of displaced GT fractures with or without comminution and the management of the combined lesions. At the final follow-up, meaningful remodeling of the GT fracture and satisfactory clinical outcomes could be achieved.

Cited by 29 publications

References 29 publications

Combined fractures of the humeral head and the glenoid

Combined fractures of the humeral head and the glenoid

Arthroscopic Treatment of Greater Tuberosity Avulsion Fractures

A Biomechanical Study of Double-row Suture-bridge and Double-screw Fixation Strength in Split-type Greater Tuberosity Fractures of the Humerus

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