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Greater Tuberosity Fracture
Michael J. Tuite, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Rotator cuff avulsion fracture
              • Definitions

                • Fracture through base of greater tuberosity (GT)
                  • Isolated: Usually after fall
                  • Associated with other injuries
                    • Humeral head/neck fracture
                    • After glenohumeral dislocation

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Mutch J et al: A new morphological classification for greater tuberosity fractures of the proximal humerus: validation and clinical implications. Bone Joint J. 96-B(5):646-51, 2014
                                            2. Park SE et al: Arthroscopic management of occult greater tuberosity fracture of the shoulder. Eur J Orthop Surg Traumatol. 24(4):475-82, 2014
                                            3. Mutch J et al: Accurate measurement of greater tuberosity displacement without computed tomography: validation of a method on plain radiography to guide surgical treatment. J Orthop Trauma. 28(8):445-5, 2013
                                            4. Gallo RA et al: Defining the relationship between rotator cuff injury and proximal humerus fractures. Clin Orthop Relat Res. 458:70-7, 2007
                                            5. Green A et al: Isolated fractures of the greater tuberosity of the proximal humerus. J Shoulder Elbow Surg. 12(6):641-9, 2003
                                            6. Mason BJ et al: Occult fractures of the greater tuberosity of the humerus: radiographic and MR imaging findings. AJR Am J Roentgenol. 172(2):469-73, 1999
                                            7. Zanetti M et al: MR imaging for traumatic tears of the rotator cuff: high prevalence of greater tuberosity fractures and subscapularis tendon tears. AJR Am J Roentgenol. 172(2):463-7, 1999
                                            8. Reinus WR et al: Fractures of the greater tuberosity presenting as rotator cuff abnormality: magnetic resonance demonstration. J Trauma. 44(4):670-5, 1998
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Synonyms

                                                          • Rotator cuff avulsion fracture
                                                        • Definitions

                                                          • Fracture through base of greater tuberosity (GT)
                                                            • Isolated: Usually after fall
                                                            • Associated with other injuries
                                                              • Humeral head/neck fracture
                                                              • After glenohumeral dislocation

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Mutch J et al: A new morphological classification for greater tuberosity fractures of the proximal humerus: validation and clinical implications. Bone Joint J. 96-B(5):646-51, 2014
                                                                                      2. Park SE et al: Arthroscopic management of occult greater tuberosity fracture of the shoulder. Eur J Orthop Surg Traumatol. 24(4):475-82, 2014
                                                                                      3. Mutch J et al: Accurate measurement of greater tuberosity displacement without computed tomography: validation of a method on plain radiography to guide surgical treatment. J Orthop Trauma. 28(8):445-5, 2013
                                                                                      4. Gallo RA et al: Defining the relationship between rotator cuff injury and proximal humerus fractures. Clin Orthop Relat Res. 458:70-7, 2007
                                                                                      5. Green A et al: Isolated fractures of the greater tuberosity of the proximal humerus. J Shoulder Elbow Surg. 12(6):641-9, 2003
                                                                                      6. Mason BJ et al: Occult fractures of the greater tuberosity of the humerus: radiographic and MR imaging findings. AJR Am J Roentgenol. 172(2):469-73, 1999
                                                                                      7. Zanetti M et al: MR imaging for traumatic tears of the rotator cuff: high prevalence of greater tuberosity fractures and subscapularis tendon tears. AJR Am J Roentgenol. 172(2):463-7, 1999
                                                                                      8. Reinus WR et al: Fractures of the greater tuberosity presenting as rotator cuff abnormality: magnetic resonance demonstration. J Trauma. 44(4):670-5, 1998