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Greater Tuberosity Fracture

Understanding, Diagnosing, and Treating Greater Tuberosity Fractures

What is a Greater Tuberosity Fracture?

A greater tuberosity fracture is an injury to the upper portion of the humerus (the bone of the upper arm) where the rotator cuff muscles attach. The greater tuberosity is a bony prominence on the humerus that serves as an anchor point for important muscles that control shoulder movement. This type of fracture often occurs due to trauma or falls, resulting in pain, weakness, and limited shoulder mobility.

Dr. Abhinav Mishra, an experienced orthopedic surgeon specializing in shoulder injuries, provides expert care for greater tuberosity fractures to restore function and reduce pain.

Symptoms of Greater Tuberosity Fracture

  • Pain
  • Swelling and Bruising
  • Limited Range of Motion
  • Deformity

Causes of Greater Tuberosity Fracture

Fall on Outstretched Arm
  • One of the most common causes of a greater tuberosity fracture is falling directly onto an outstretched arm.
  • The force from the fall may break the greater tuberosity, damaging the rotator cuff attachment points.
Motor Vehicle Accidents
  • High-energy trauma, such as in car accidents, can result in significant force on the shoulder, leading to fractures of the greater tuberosity.
Sports Injuries
  • Athletes involved in contact sports, like football, hockey, or wrestling, are at higher risk of shoulder injuries and fractures, including greater tuberosity fractures.
  • High-impact sports or activities that involve sudden shoulder movements can lead to injury.
Osteoporosis or Bone Weakening
  • In older adults or individuals with weakened bones, even minor falls or stresses can cause a fracture of the greater tuberosity.

Treatment Options for Greater Tuberosity Fracture

Non-Surgical Treatment
  • Rest and Immobilization: The shoulder will typically be immobilized in a sling to promote healing and reduce movement.
  • Ice and Pain Management: Ice applications and over-the-counter pain medications (like ibuprofen) can help manage pain and swelling.
  • Physical Therapy: After the initial healing phase, physical therapy is essential to restore mobility and strength in the shoulder.
Surgical Treatment
  • Open Reduction and Internal Fixation (ORIF): The fractured bone fragments are aligned and held in place using screws, plates, or pins. This method ensures proper healing and minimizes movement of the fractured bone.
  • Rotator Cuff Repair: If the fracture has torn the rotator cuff, surgical repair of the torn muscles may be needed in conjunction with bone fixation.
  • Arthroscopic Surgery: In certain cases, minimally invasive arthroscopic techniques may be used to repair the fracture and any associated soft tissue injuries.
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