Case Report
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World J Clin Cases. Jun 16, 2014; 2(6): 219-223
Published online Jun 16, 2014. doi: 10.12998/wjcc.v2.i6.219
Two-level reconstruction of isolated fracture of the lesser tuberosity of the humerus
Vasileios S Nikolaou, Dimitrios Chytas, Evangelos Tyrpenou, George C Babis
Vasileios S Nikolaou, Dimitrios Chytas, Evangelos Tyrpenou, George C Babis, 2nd Orthopaedic Department, Athens University, 15124 Athens, Greece
Author contributions: Nikolaou VS performed the surgery and wrote the manuscript; Chytas D and Tyrpenou E did the literature search and prepared the first draft; Babis GC did the final checking and proof editing of the manuscript.
Correspondence to: Vasileios S Nikolaou, MD, PhD, Orthopaedic Surgeon, Lecturer in Orthopaedics, 2nd Orthopaedic Department, Athens University, 21 Dimitriou Ralli Str, Maroussi, 15124 Athens, Greece. vassilios.nikolaou@gmail.com
Telephone: +30-6932-543400 Fax: +30–210-8022142
Received: December 29, 2013
Revised: April 17, 2014
Accepted: May 14, 2014
Published online: June 16, 2014
Processing time: 173 Days and 15 Hours
Abstract

Fractures of the lesser tuberosity of the humerus are typically met in combination with other injuries of the shoulder. Case reports of isolated lesser tuberosity fractures are particularly rare and, consequently, therapeutic protocols have not yet been completely clarified. Conservative as well as surgical treatment has been recommended, while several operative techniques have been applied. We present a case of a 39-year-old man with an isolated lesser tuberosity fracture who was treated surgically in our institution. Due to fracture comminution, a two-level reconstruction technique with headless screws and buttress plate was applied. As far as we know, this method of fixation of this type of fracture has not been previously described in the literature. The patient tolerated the procedure well and excellent results were obtained at the latest follow-up.

Keywords: Shoulder; Humerus; Lesser tuberosity; Fixation; Technique; Two-level reconstruction

Core tip: Isolated fractures of the lesser tuberosity of the humerus in adults are extremely rare. Only a few cases have been reported so far in the literature. The optimal treatment method of these fractures is still a matter of debate. Herein, we present a case of a 39-year-old man with an isolated lesser tuberosity fracture who was treated surgically in our institution. Due to fracture comminution, a two-level reconstruction technique with headless screws and buttress plate was applied. As far as we know, this method of fixation of this type of fracture has not been previously described in the literature.