Oberarmkopffraktur – Operationskriterien, Indikationsstellung

Razaeian S, Hawi N, Zhang D, Liodakis E, Krettek C. Conservative treatment of displaced isolated proximal humerus greater tuberosity fractures: preliminary results of a prospective, CT-based registry study. Eur J Trauma Emerg Surg. 2022 Dec;48(6):4531-4543. doi: 10.1007/s00068-020-01453-7. Epub 2020 Sep 15. PMID: 32930807. (Springermedizin-Volltext für Abonnenten)

Methods: Twenty patients with conservatively treated isolated greater tuberosity fracture were evaluated prospectively as part of a registry study. …
Results: No statistically significant difference in clinical outcomes could be observed with respect to the degree of displacement among the three groups.

Ryan DJ, Zuckerman JD, Egol KA. Fact or fiction: the “5 mm Rule” in greater tuberosity fractures of the proximal humerus. Eur J Orthop Surg Traumatol. 2022 Nov 8. doi: 10.1007/s00590-022-03427-4. Epub ahead of print. PMID: 36346475. (Springermedizin-Volltext für Abonnenten)

Purpose: The purposes of this study were 1) to assess the outcome of nonoperative management of GT fractures with > 5 mm of displacement and 2) to assess whether there is a correlation between degree of displacement and outcome.
Conclusion: Our findings do not support a discrete 5 mm displacement threshold for surgical repair of isolated greater tuberosity fractures.

Razaeian S, Askittou S, Wiese B, Zhang D, Harb A, Krettek C, Hawi N. Inter- and intraobserver reliability of morphological Mutch classification for greater tuberosity fractures of the proximal humerus: A comparison of x-ray, two-, and three-dimensional CT imaging. PLoS One. 2021 Nov 11;16(11):e0259646. doi: 10.1371/journal.pone.0259646. PMID: 34762694; PMCID: PMC8584785.

Ganokroj P, Pakawech N, Vanadurongwan B, Harnroongroj T, Harnroongroj T, Keyurapan E. A new classification for combined greater tuberosity fracture and anterior shoulder dislocation: A study of fracture configurations and displacement after reduction. Acta Orthop Traumatol Turc. 2022 Jul;56(4):245-251. doi: 10.5152/j.aott.2022.21316. PMID: 35943077; PMCID: PMC9612667.

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