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Clin Shoulder Elbow > Volume 14(1); 2011 > Article
Clinics in Shoulder and Elbow 2011;14(1):20-26.
DOI: https://doi.org/10.5397/CiSE.2011.14.1.020    Published online June 30, 2011.
Accompanying Lesions and Clinical Results in the Greater Tuberosity Fracture of the Humerus with Anterior Shoulder Dislocation Under the Age of Forty
Doo Sup Kim, Yeo Seung Yoon, Dong Kyu Lee, Hyeun Kook Park, Jang Hee Park, John Shin
Department of Orthopaedic Surgery, Wonju College of Medicine, Yonsei University, Wonju Christian Hospital, Wonju, Korea. dskim1974@hanmail.net
40세 이하에서 견관절 전방 탈구가 동반된 상완골 대결절 골절에서 관절내 병변 및 임상 결과
김두섭·윤여승·이동규·박현국·박장희·신존정헌
연세대학교 원주의과대학 기독병원 정형외과
Abstract
PURPOSE
The purpose of this study is to investigate the accompanying lesions of humerus greater tuberosity fracture with anterior shoulder dislocation and to analyze its clinical results. MATERIALS AND METHODS: From May 2005 to November 2008, arthroscopy was performed on a total of 30 selected patients who were diagnosed with humerus greater tuberosity fracture with anterior shoulder dislocation and who were also under the age of 40. The preoperative and postoperative Constant and Rowe scores were compared.
RESULTS
There was a total of 21 cases of anteroinferior labral lesions: 2 Bankart lesions, 4 bony Bankart lesions, 4 Perthes lesions, 2 free ALPSA lesions, 3 GLAD lesions and 6 capsular tears. For other lesions, 5 rotator cuff partial tears, 3 SLAP lesions and 1 biceps tendon rupture were found. The constant scores were increased from 56.3 to 94.43 points (p=0.034), and the Rowe scores were increased from 52.56 to 91.76 points (p=0.026).
CONCLUSION
For humerus greater tuberosity fracture with anterior shoulder dislocation, the accompanying lesion was identified and the fracture was treated using arthroscopy. Good clinical results and bone union were achieved. According to the secondary arthroscopic findings, all of the Perthes lesion, the free ALPSA lesion, the GLAD lesion and the capsular tear spontaneously healed or they did not progress to extended rupture although arthroscopic suture was not performed. Any postoperative secondary instability was not observed.
Key Words: Greater tuberosity fracture; Anterior shoulder dislocation; Arthroscopy


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