Greater tuberosity fractures
Indications for surgery
> 5 mm displaced - superior displacement will cause impingement
Options
Screw fixation - young patients
Suture and repair over distal screw - elderly
Hook plates
Locking 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
Lesser tuberosity fractures
Soft tissue washer and screw
