Management of a Patient With an Isolated Greater Tuberosity Fracture and Rotator Cuff Tear

2005 ◽  
Vol 35 (8) ◽  
pp. 521-530 ◽  
Author(s):  
Reg B. Wilcox ◽  
Linda E. Arslanian ◽  
Peter J. Millett
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Greater Tuberosity ◽  
Greater Tuberosity Fracture ◽  
Cuff Tear

scholarly journals Surgical treatment for recurrent inferior shoulder dislocation with greater tuberosity fracture and rotator cuff tear: a case report

2019 ◽  
Vol 3 (4) ◽  
pp. 357-360
Author(s):  
Ryogo Furuhata ◽  
Yasuhiro Kiyota ◽  
Noboru Matsumura ◽  
Akira Yoshiyama ◽  
Hideo Morioka ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Dislocation ◽  
Greater Tuberosity ◽  
Greater Tuberosity Fracture ◽  
Cuff Tear

The greater tuberosity radius ratio: maybe a new predictor in diagnosis of rotator cuff tear

2020 ◽  
Author(s):  
Qi Ma ◽  
Changjiao Sun ◽  
Pu Liu ◽  
Sha Wu ◽  
Xu Cai
Keyword(s):  
Computed Tomography ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Roc Curve ◽  
Radius Ratio ◽  
Rotator Cuff Tears ◽  
Cutoff Value ◽  
Greater Tuberosity ◽  
Cuff Tear ◽  
Computed Tomography Images

Abstract Background The role of the greater tuberosity of humerus in subacromial impingement should be of equal important as the acromion. In this study we concerned on the morphological characteristics of the greater tuberosity of humerus and proposed the greater tuberosity radius ratio (GTRR) as a new predictor for the diagnosis of rotator cuff tear. We hypothesized that a larger value of the GTRR could increase the risk of developing rotator cuff tear. Methods This was a retrospective study and clinical data and preoperative computed tomography images of the patients with rotator cuff tears (defined as the RCT group, simple size: 61) or without rotator cuff tears (defined as the control group, simple size: 56) were collected. Three-dimensional models of shoulders were established by multiplanar reconstruction of computed tomography scans. In a standard anteroposterior view, the radius of the best-fit circle of the humeral head (the r) and the radius of the concentric circle passing through the most superolateral edge of the greater tuberosity (the R) were measured for each shoulder. The ratio of R and r (R/r) was defined as the greater tuberosity radius ratio (GTRR). Independent samples t tests were used to find significant differences within the r, the R and the GTRR between groups. Receiver operating characteristic (ROC) curve based on the values of GTRR was performed to determine an applied cutoff value which may be useful in clinical practice. Results There was no significant difference in the values of r or R. However, the mean values of GTRR were 1.339 ± 0.143 (range, 1.087–1.684) and 1.244 ± 0.172 (range, 1.040–1.706) in the two groups respectively (p = 0.002). According to the ROC curve, an optimized cutoff value of GTRR was determined as 1.262, whose sensitivity was 72% and specificity was 65% for diagnosis of rotator cuff tear. Conclusion The greater tuberosity of humerus contributes to the mechanisms of rotator cuff tear. The greater tuberosity radius ratio is recommended as a new predictor for diagnosis of rotator cuff tear, with an optimized cutoff value set as 1.262.

scholarly journals Acromial impression fracture of the greater tuberosity with massive rotator cuff tear: this need not be a nightmare!

2011 ◽  
Vol 2011 (mar01 1) ◽  
pp. bcr1120103521-bcr1120103521 ◽  
Author(s):  
A. Fahmy ◽  
N. Antonakopoulos ◽  
A. Khan
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Massive Rotator Cuff Tear ◽  
Greater Tuberosity ◽  
Cuff Tear ◽  
Impression Fracture

scholarly journals Arthroscopic Transosseous Repair of Rotator Cuff Tear and Greater Tuberosity Cysts

2020 ◽  
Vol 2 (3) ◽  
pp. e241-e250
Author(s):  
Claudio Chillemi ◽  
Carlo Paglialunga ◽  
Mario Guerrisi ◽  
Matteo Mantovani ◽  
Marcello Osimani
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Greater Tuberosity ◽  
Cuff Tear ◽  
Transosseous Repair

Footprint reconstruction in a rotator cuff tear associated cyst of the greater tuberosity: augmented anchorage

2012 ◽  
Vol 133 (1) ◽  
pp. 81-85 ◽  
Author(s):  
L. K. Postl ◽  
V. Braunstein ◽  
R. von Eisenhart-Rothe ◽  
C. Kirchhoff
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Greater Tuberosity ◽  
Cuff Tear

Nonabsorbable Suture Knot on the Tendon Affects Rotator Cuff Healing: A Comparative Study of the Knots on Tendon and Bone in a Rat Model of Rotator Cuff Tear

2019 ◽  
Vol 47 (12) ◽  
pp. 2809-2815 ◽  
Author(s):  
Yucheng Sun ◽  
Jae-Man Kwak ◽  
Erica Kholinne ◽  
Jun Tan ◽  
Kyoung-Hwan Koh ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Chronic Inflammation ◽  
Rotator Cuff Tear ◽  
Rat Model ◽  
Rotator Cuff Repair ◽  
Greater Tuberosity ◽  
Nonabsorbable Suture ◽  
Cuff Tear ◽  
Weakest Link ◽  
Cuff Repair

Background: Nonabsorbable suture knots are usually used to link the tendon and bone during rotator cuff repair surgery. There are many variations in the arthroscopic knot-tying technique; however, the location of suture knot placement for rotator cuff healing has rarely been studied. Hypothesis: The authors compared the rotator cuff healing between knots tied on tendon and bone in a rotator cuff tear rat model. It has been hypothesized that knots can cause chronic inflammation and create the weakest link between tendon and bone, thus affecting rotator cuff healing. Study Design: Controlled laboratory study. Methods: Bilateral supraspinatus tenotomy and rotator cuff repair at the greater tuberosity were performed on 24 Wistar rats. Nonabsorbable surgical suture knots were made on the right supraspinatus tendon tissue and left humerus inferior to the greater tuberosity, respectively. Twelve rats each were sacrificed at 3 and 9 weeks. Six of the 12 rats were used for biomechanical testing and the remaining 6 for histologic evaluation. Results: The surgical knots placed on the bursal side of the tendon migrated to the articular side, as noted on gross observation in 22 of 24 samples. The knots on the tendon group showed significantly inferior tendon-bone integration and significantly inferior biomechanical results in terms of maximum load to failure and stiffness. An obvious chronic foreign body inflammatory reaction was found in the knots on the tendon group at 3 and 9 weeks. Furthermore, inferior bone-tendon interface regeneration and weakest link formation were obtained in the knots on the tendon group compared with those on the bone group. Conclusion: Nonabsorbable suture knots placed on the tendon migrate to the articular side, causing chronic inflammation and weakening tendon-bone healing, which may explain some retears after rotator cuff repair. Clinical Relevance: The present animal study suggests that it is not recommended in clinical practice to make several bulky nonabsorbable suture knots on the rotator cuff tendon during rotator cuff repair surgery. It may be better to tie the knots at the bone side or do knotless repair.

Sign in / Sign up

Export Citation Format

Share Document