The Greater Tuberosity Fracture - Not to be Underestimated!

Description

In this presentation, Dr. Radhakant Pandey discusses the significance and intricacies of greater-tuberosity fractures, an often overlooked injury to the shoulder complex. He emphasizes the importance of the greater tuberosity as a critical attachment point for the rotator cuff and highlights its role in shoulder stability and function. Dr. Pandey relates that these fractures, particularly isolated instances, are common yet frequently misdiagnosed or ineffectively treated, leading to prolonged patient discomfort and complications like rotator cuff tears and stiffness.



Throughout the talk, Dr. Pandey discusses the necessity of thorough evaluation, advocating for multiple X-ray views and CT scans to accurately assess fracture displacement and its implications. He presents data, noting that even minimal displacements under 5 millimeters can significantly affect recovery outcomes, particularly in younger and more active individuals. He stresses the importance of proper imaging techniques and follow-up to prevent missed diagnoses and for optimal treatment planning.



Dr. Pandey details different types of fractures, including avulsion and split fractures, providing insights into the most effective surgical and non-surgical treatments. He explains that while most greater tuberosity fractures can be treated conservatively, any significant displacement may necessitate surgical intervention, using suture-anchor techniques as the preferred method. Moreover, he concludes by underscoring the lengthy recovery periods associated with these injuries, elucidating that patient education about the healing process is critical for managing expectations.



Overall, Dr. Pandey's presentation serves to elevate the awareness of greater-tuberosity fractures, urging clinicians not to underestimate their potential impact on shoulder health and function.

DOI: 10.1302/3114-221411

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