Functional Outcome in Operative and Nonoperative Management in Isolated Greater Tuberosity Fracture of Humerus Bone

Not Applicable

Not yet recruiting

• Conditions: Greater Tuberosity Fracture
• Interventions: Device: internal fixation by plate or screws

• Registration Number: NCT06603428
• Lead Sponsor: Assiut University

Brief Summary

Constant score for functional outcome in operative and non-operative management in isolated greater tuberosity fractures of humerus bone.

Detailed Description

Fractures of the greater tuberosity (GT) often occur with more complex proximal humerus fractures and are less frequently observed as an isolated pathology. Only 14-20% of proximal humerus fractures are isolated lesions of the GT. Up to 30% of these fractures are associated with anterior glenohumeral dislocations. According to Neer, a displacement of the fragment \>5mm and 30°, or \>3 mm of displacement in active patients involved in frequent overhead activity is believed to be an indication for operative treatment. However, indication for all other fractures had managed by nonoperative treatment is unclear. Currently, there is a lack of evidence in the literature to support either conservative or operative treatment strategies in GT humerus fractures. The fracture type and the etiology of the fracture impact the decision- making and the final outcome also remains unclear. age of more than 65 years as an important risk factor for secondary displacement in the conservative management of fractures of the greater tuberosity. Furthermore, fracture type and shoulder joint dislocations were factors associated with show increased relative risks for secondary fragment displacement.

Study Timeline

• Status Verified: 2024-09
• Study First Submitted: 2024-09-11
• Study First Submitted QC: 2024-09-16
• Last Update Submitted: 2024-09-16
• Study First Posted: 2024-09-19
• Last Update Posted: 2024-09-19
• Study Start: 2024-10-10
• Primary Completion: 2026-04-30
• Study Completion: 2026-10-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

• 1-history of traumatic isolated GT fracture.

Exclusion Criteria

• 1- associated proximal humeral fracture.

2 - previous shoulder pathology.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Operative and Nonoperative Management in Isolated Greater Tuberosity Fracture of Humerus Bone.	internal fixation by plate or screws	Patients more than 5 ml displacement of GT fracture (3ml in active highly demanded patient) are for internal fixation, others less this are for conservative management.

Primary Outcome Measures

Name	Time	Method
Constant score for functional outcomes	follow up 1 year	A-Pain (/15): Average(1+2) A; 1. Do you have pain in your shoulder (normal activities)? No =15 pts,Mild pain =10 pts,Moderate =5 pts,Severe or permanent =0.; 2. Linear scale: If "0" means no pain and "15" is the maximum pain you can experience, please circle where is the level of pain of your shoulder.(Points given are inverse to the scale.E.g. level 5 in the scale means 10 points) B- Activities of daily living (/20) Total (1 + 2) B; 1. Is your occupation or daily living limited by your shoulder? No=4,Moderate limitation =2,Severe limitation=0; 2. Are your leisure and recreational activities limited by your shoulder? No=4,Moderate limitation = 2,Severe limitation=0 C.- Range of movement (leave this for the doctor or physiotherapist) (/40):Total (1 + 2 ) C; 1.- FWD Flexion: 0-30 0 pts 2-Abduction: 0-30 D.- Power (/25): Points: average (kg) x 2= D; First pull:Second pull:Third pull:Fourth pull:Fifth pull: Average pulls: TOTA

Trial Locations

Locations (1)

Kerolos Zaghlol Thabet; 🇪🇬 Assiut, Egypt