| Arthroscopic Treatment of Symptomatic Shoulders with Minimally Displaced Greater Thberosity Fracture |
| Seung-Ho Kim, Kwon-Ick Ha |
| Department of Orthopaedic Surgery, Sung Kyun Kwan University, Samsung Medical Center |
| 상완골 대결절의 미세전위골절의 관절경적치료 |
| 김승호, 하권익 |
| 성균관대학교 의과대학 삼성서울병원 정형외과학교실 |
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| Abstract |
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Twenty-three patients with chronic shoulder pain beyond 6 months after the fracture of the greater tuberosity underwent arthroscopic treatment and were retrospectively assessed after an average of 29 months(range, 22 to 40 months). There were 18 men and 5 women with the average age of 39 years(range, 24 to 61 years). Fourteen were isolated fractures and nine were related to acute anterior instability episode. The average displacement of the fracture was 2.3mm(range, 0 to 4mm) on the anteroposterior view of the plane radiographs. At the time of arthroscopy, all patients had partial thickness rotator cuff tears in the articular surface. The cuff tears were located on the tuberosity fracture area and were an Ellman's grade I to n in depth. With the arthroscopic debridement or repair of the tear depending on the condition of the tear itself, as well as the subacromial decompression, the UCLA score revealed good to excellent results in 20 and fair in 3 patients. Nineteen of the patients had returned to the previous level of activities. The patient with a higher activity demand revealed a lower level of activity return(p=0.034). The partial thickness rotator cuff tear should be considered in patients with chronic shoulder pain after the minimally displaced fracture of the greater tuberosity, and arthroscopic debridement or repair is an appropriate procedure. |
| Key Words:
Shoulder; Greater tuberosity fracture; Partial thickness rotator cuff tear; Arthrosco |
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