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

NCT ID: NCT06603428

Last Updated: 2024-09-19

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 66 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-10-10
• Study Completion Date: 2026-10-30

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.

Conditions

Greater Tuberosity Fracture

Study Design

• Allocation Method: NA
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

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

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.

Group Type: EXPERIMENTAL

internal fixation by plate or screws

Intervention Type: DEVICE

\- 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.

Interventions

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.

Intervention Type: DEVICE

Other Intervention Names

arthroscopic fixation of avulsion greater tuberosity fracture

Eligibility Criteria

Inclusion Criteria

• 1-history of traumatic isolated GT fracture.

Exclusion Criteria

• 1- associated proximal humeral fracture.

2 - previous shoulder pathology.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Kerollos Zaghloul Thabet

asisstant lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kerolos Z Thabet, master

Role: PRINCIPAL_INVESTIGATOR

Assiut University

Locations

Kerolos Zaghlol Thabet

Asyut, Asyut Governorate, Egypt

Countries

Egypt

Central Contacts

Kerolos Z Thabet, master

Role: CONTACT

KerolosZaghloul@med.nvu.edu.eg

01096271767

hesham A kady, prof

Role: CONTACT

heshamelkady9919@gmail.com

01005211797

References

Schliemann B, Heilmann LF, Raschke MJ, Lill H, Katthagen JC, Ellwein A. Isolated fractures of the greater tuberosity: When are they treated conservatively?: A baseline study. Obere Extrem. 2018;13(2):106-111. doi: 10.1007/s11678-018-0459-z. Epub 2018 May 15.

Reference Type: BACKGROUND

PMID: 29887916 (View on PubMed)

Other Identifiers

greater tuberosity fracture

Identifier Type: -

Identifier Source: org_study_id