Executive Editor: Peter Trafton

Authors: Martin Jaeger, Frankie Leung, Wilson Li

Proximal humerus Extraarticular 2-part, greater tuberosity, nondisplaced

back to skeleton

Glossary

General considerations

The vast majority of these fractures (undisplaced greater tuberosity) can be managed by nonoperative methods. Fixation in situ may be warranted if a high risk of displacement is suspected.

Nonoperative
Main indication Skill Equipment
Impacted greater tuberosity fractures Basic surgical experience, no specialized skills Basic equipment only

Supporting indications

  • Risks of surgery outweigh benefits

Advantages

  • No operative risks
  • No anesthetic risks

Disadvantages

  • Possible risk of displacement
MIO - Screw fixation
Main indication Skill Equipment
Nonimpacted greater tuberosity fracture Some specialized surgical experience Full specialized surgical and imaging resources

Supporting indications

  • Need for more stability and/or earlier mobilization

Advantages

  • Reduced risk of displacement
  • Earlier mobilization possible

Disadvantages

  • Possible need for hardware removal
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v2.0 2011-05-02