Detection of greater tuberosity fractures by sonography

Kleinbaum Yeroham, Zahava Heyman, Avraham Ganel, Yigal Mirovski, Alexander Blankstein

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To describe the prevalence and sonographic appearance of greater tuberosity fractures in patients undertaking shoulder sonography in an outpatient clinic. Methods: We retrospectively reviewed the reports of 854 sonographic shoulder examination and detected 42 patients (26 men, 14 women aged 35-60) with greater tuberosity fractures. Clinical data, sonographic results and plain radiographs correlation were evaluated. Results: 28/42 patients showed discontinuity of the humeral head. 10/42 patients showed gap greater than 2 mm. 4/42 patients showed double line configuration. In 14/2 patients, the fracture was not seen even retrospectively. Conclusions: Greater tuberosity fractures are characterized by sonography as cortical discontinuity, which may appear as a cortical gap or step-off (double line). They can be seen in shoulder sonography examination and should be looked for in every shoulder sonography examination even without clear history of trauma.

Original languageEnglish
Pages (from-to)101-105
Number of pages5
JournalJournal of Musculoskeletal Research
Volume8
Issue number2-3
DOIs
StatePublished - 2004
Externally publishedYes

Keywords

  • Anterior shoulder pain
  • Greater tuberosity fracture
  • Humeral head
  • Rotator cuff tear

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