Fractures of the Lesser Tuberosity of the Humerus

Robinson, C. M.; Teoh, Kar Hao; Baker, Alexander D. L.; Bell, Lawrence

doi:10.2106/jbjs.h.00409

Cited by 48 publications

(37 citation statements)

References 34 publications

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“…Most cases that have been previously reported were caused by traction of the subscapularis muscle tendon when abduction and excessive external rotation of the shoulder joint occurred [2][3][4][5]. The fracture in this report was caused by forced extension and internal rotation of the shoulder joint (i.e.…”

Section: Discussionmentioning

confidence: 63%

“…Robinson et al [2] strongly recommend open surgery because dislocation caused by the subscapularis muscle tendon may lead to aggravation, malunion, impingement of the coracoid process, or dislocation of the tendon of the long head of the biceps muscle. In the present case, open reduction and internal fixation were performed because the bone fragment showed a dislocation greater than 5 mm.…”

Section: Isolated Fracture Of the Lesser Tuberosity Of The Humerusmentioning

confidence: 99%

“…Fracture of the lesser tuberosity of the humerus often occurs concurrently with fracture of the proximal humerus or dislocation of the posterior shoulder joint [1,2]. Isolated fractures of the lesser tuberosity of the humerus are extremely rare, occurring in only 0.46 persons per 100,000 [2].…”

Section: Introductionmentioning

confidence: 99%

“…Isolated fractures of the lesser tuberosity of the humerus are extremely rare, occurring in only 0.46 persons per 100,000 [2].…”

Section: Introductionmentioning

confidence: 99%

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Isolated Fracture of the Lesser Tuberosity of the Humerus: A Case Report

et al. 2011

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Summary:Fracture of the lesser tuberosity of the humerus often occurs concomitant with posterior shoulder dislocation or proximal humeral fracture, while isolated fractures are extremely rare. We report a case in which an isolated fracture of the lesser tuberosity of the humerus occurred due to a distinctive pathogenic mechanism. A 43-year-old male had his right shoulder forced into internal-rotation (i.e. back reach position) when he fell into a ditch approximately 70 cm wide and 1.5 m deep. Subcutaneous bleeding and tenderness were detected anteriorly in the shoulder, with restricted range of motion. Radiographs indicated a fracture of the lesser tuberosity of the humerus. Three-dimensional computed tomography (CT) confirmed an isolated fracture of the lesser tuberosity, which was displaced anteromedially by more than 5 mm from its previous anatomical position. During operation, the fractured fragment of the lesser tuberosity was reduced easily and fixed by a cancellous bone screw. At postoperative 2 years, the patient has recovered full range of motion with sufficient muscle strength, and has returned to work. The pathogenic mechanisms in this case were unique, differing from those that have been previously reported.

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Section: Discussionmentioning

confidence: 63%

Section: Isolated Fracture Of the Lesser Tuberosity Of The Humerusmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Isolated fractures of the lesser tuberosity of the humerus are extremely rare, occurring in only 0.46 persons per 100,000 [2].…”

Section: Introductionmentioning

confidence: 99%

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Isolated Fracture of the Lesser Tuberosity of the Humerus: A Case Report

et al. 2011

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“…Although some physeal stress lesions in the upper extremity, such as those involving the proximal humeral physis ''little league shoulder'' [2,5,6], are well-documented, other physeal stress fractures around the shoulder, such as lesser tuberosity fractures associated with throwing a baseball [15,21], are rare. Using PubMed, EMBASE, and Scopus, we identified no English language reports of proximal clavicle physeal stress lesions.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Bilateral Proximal Epiphyseal Clavicular Stress-related Lesions in a Male Gymnast

Carson

McCambridge

Carrino

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Stress lesions of the upper extremity are relatively uncommon, and physeal stress lesions of the clavicle are rare. We present a case of bilateral physeal stress-related lesions of the proximal clavicular growth plate near the sternoclavicular joint in an adolescent male gymnast. Case Description A 13-year-old gymnast presented with a 3-week history of insidious onset of pain in the proximal clavicular area of his left shoulder. He had no pain at rest or at night. He recently had added a new maneuver to his routine. His radiographs were normal, but further study with CT scanning confirmed a stress lesion of his proximal clavicular physis. The lesion healed with time, and he returned to gymnastics with no symptoms. Approximately 5 months after the initial symptoms on the left side, he felt a pop and immediate pain in his right sternoclavicular joint area while doing a routine. Imaging revealed a chronic stress lesion of the proximal physis similar to that of the other side. The patient achieved healing with rest and returned to gymnastics with no limitations. Literature Review Physeal stress-related lesions of the proximal clavicular physis have not been reported in the literature. Purpose and Clinical Relevance Medial clavicle pain in adolescent gymnasts may be secondary to stress-related lesions of the proximal clavicular growth plate. Such lesions are rare.

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