B. Displaced fractures of the greater tuberosity
Issues
- > 5 mm displaced needs ORIF
- superior displacement will cause impingement
- up to 25% associated with cuff tear
- repair of cuff important step
Options
Suture and repair over distal screw
Lateral plate
Technique
Deltoid splitting approach
- young patient can ORIF with screw
- in elderly insert Mason Allen no 2 suture in cuff and tie over screw
- repair rotator cuff
C. Lesser tuberosity fractures
Soft tissue washer and screw
