İzole humerus tüberkulum majus kırıklarında tedavi sonuçları [Treatment results in isolated humerus majus fractures]
Hakan Serhat Yanık, Mehmet Kerem Canbora, Atilla Polat 1 * , Hasan Bombacı, Şevki Erdem, Abdullah Demirtaş
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1 Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, İstanbul, Turkey
* Corresponding Author


Introduction: The aim of this study is to evaluate the results of patients with the isolated greater tubercul fractures (GTF) of humerus who conservatively or surgically treated.
Materials and methods: 23 patients were admitted (11 women, 12 men) with GTF (54% dominant side of 24 shoulder) between 2008 and 2011. All of patient were evaluated with MRI as preoperatively soft tissue injury. There was supraspinatus muscle tear together with GTF in 3 case and their shoulder were arthroscopically assisted rotator cuff repair. Osteosynthesis was performed in 3 case with screw and fixation in 2 case with suture. GTF of 16 shoulder were conservatively treated. Shoulder function after treatment were evaluated according to Constant score (CS), Quick-DASH score (QDS) and VAS score.
Results: Three patients with screw fixation had CS 68,6 points, QDS 12,8 points, VAS score 1,66. Two patients with suture fixation had 67,5 CS points, 5,1 QDS pointsp, and 2 VAS score. Three patients with rotator cuff tear repair had 82,6 CS points, 16,6 QDS points, and 2,33 VAS score. In patients with conservatively treated mean CS was 63,9 points, QDS 26,1 points, VAS 2,96 points.
Conclusions: In this study, conservative and surgical treatment results were satisfactory. In terms of pain the results were excellent. In conclusion, GTFs are rare but trouble-free with a good observation and sufficient rehabilitation.


This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Research Article


J Clin Exp Invest, 2012 - Volume 3 Issue 3, pp. 378-382

Publication date: 11 Sep 2012

Article Views: 1632

Article Downloads: 900

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