Humeral greater tuberosity fracture

Case contributed by Leonardo Lustosa

Presentation

Polytrauma after falling from a 5-meter height on the left side of the body. Painful shoulder and hip.

Patient Data

Age: 40 years
Gender: Male

Shoulder series

x_ray

Radiographs of the shoulder revealed a minimally displaced greater tuberosity fracture of the humerus. 

Annotated image

Annotated images highlight the minimally displaced greater tuberosity segment.

Case Discussion

Fall from height injuries need thorough assessment as many different regions of the skeleton may be affected.

The greater the height, the more like the patient is to sustain multiple fractures throughout their skeleton.

The most commonly affected areas are:

  • skull
  • cervical spine
  • scapulae
  • upper extremities
  • rib cage
  • lumbar spine
  • pelvis
  • lower extremities

In the present case, the patient had a humeral greater tuberosity fracture and also an intertrochanteric fracture of the proximal hip (rID: 97583). The proximal humeral fracture was considered a minimally displaced one-part fracture according to the Neer classification.

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