Introduction: Combined fracture of greater and lesser tuberosity is an extremely rare injury. Such fracture pattern has not been described in the Neer’s, AO Muller, and Jakob’s classification system. Case Presentation:We report a unique fracture pattern consisting of combined greater and lesser tuberosity of the proximal humerus (PH) with intact humeral head and shaft in a 32-year-old female. Routine radiographs and computed tomography scan with three-dimensional reconstruction were advised for better understanding of the fracture pattern, later managed by open reduction and fixation with PH locking plate. The patient has excellent clinical, radiological, and functional outcome at the end of 2 years follow-up. Conclusion: This is one among the few case reports highlighting this unique variant of PH fracture, not much has been described in the literature about this injury. Anatomic reconstruction of the fractured tuberosities combined with stable construct by PH locking plate facilitates optimum bone healing and aggressive shoulder rehabilitation. Keywords: Greater tuberosity, humeral head, lesser tuberosity, proximal humerus fracture.`
Introduction: Total hip arthroplasty after McMurray’s osteotomy increases the operative difficulties and decreases the chances of better outcome. With the advent of modular femoral stems, minute changes can be done to individual joints, which allow intraoperative flexibility and better post-operative outcome. Thus, it should be considered as an option for complicated cases.
Case Report: We report a case of a 35-year-old female with chief complain of pain in the left hip while walking for the past 2 years. The patient also had difficulty in squatting and sitting cross legged. History of fracture in the left hip at 4 years of age for which McMurray’s osteotomy was done. The patient was operated with total hip arthroplasty using modular Sivash range of motion (S-ROM) stem.
Conclusion: Modular S-ROM total hip arthroplasty is a good option for treatment in cases with previous osteotomy in femur.
Keywords: McMurray’s osteotomy, total hip arthroplasty, Sivash range of motion.
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