Functional Outcome in Operative and Nonoperative Management in Isolated Greater Tuberosity Fracture of Humerus Bone

Assiut University

Status: Not yet enrolling

Conditions: Greater Tuberosity Fracture

Treatments: Device: internal fixation by plate or screws

Study type: Interventional

Funder types: Other

Identifiers

NCT06603428

greater tuberosity fracture

Details and patient eligibility

About

Constant score for functional outcome in operative and non-operative management in isolated greater tuberosity fractures of humerus bone.

Full description

Fractures of the greater tuberosity (GT) often occur with more complex proximal humerus fractures and are less frequently observed as an isolated pathology. Only 14-20% of proximal humerus fractures are isolated lesions of the GT. Up to 30% of these fractures are associated with anterior glenohumeral dislocations. According to Neer, a displacement of the fragment >5mm and 30°, or >3 mm of displacement in active patients involved in frequent overhead activity is believed to be an indication for operative treatment. However, indication for all other fractures had managed by nonoperative treatment is unclear. Currently, there is a lack of evidence in the literature to support either conservative or operative treatment strategies in GT humerus fractures. The fracture type and the etiology of the fracture impact the decision- making and the final outcome also remains unclear. age of more than 65 years as an important risk factor for secondary displacement in the conservative management of fractures of the greater tuberosity. Furthermore, fracture type and shoulder joint dislocations were factors associated with show increased relative risks for secondary fragment displacement.

Enrollment: 66 estimated patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 1-history of traumatic isolated GT fracture.

Exclusion criteria

• 1- associated proximal humeral fracture.

2 - previous shoulder pathology.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Sequential Assignment

Masking: None (Open label)

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66 participants in 1 patient group

Operative and Nonoperative Management in Isolated Greater Tuberosity Fracture of Humerus Bone.

Experimental group

Description:

Patients more than 5 ml displacement of GT fracture (3ml in active highly demanded patient) are for internal fixation, others less this are for conservative management.

Treatment:

Device: internal fixation by plate or screws