NDLI: Subscapularis avulsion of the lesser tuberosity in adolescents.

Please wait, while we are loading the content...

The use of a joystick technique facilitates closed reduction and percutaneous fixation of multidirectionally unstable supracondylar humeral fractures in children.

Intra-articular corrective osteotomy of humeral lateral condyle malunions in children: early clinical and radiographic results.

Reliability of internal oblique elbow radiographs for measuring displacement of medial epicondyle humerus fractures: a cadaveric study.

Cervical arterial injury after blunt trauma in children: characterization and advanced imaging.

Acute complications associated with removal of flexible intramedullary femoral rods placed for pediatric femoral shaft fractures.

Long-term results of treatment of congenital idiopathic clubfoot in 187 feet: outcome of the functional 'French' method, if necessary completed by soft-tissue release.

Achievement of gross motor milestones in children with idiopathic clubfoot treated with the Ponseti method.

Propofol sedation for infants with idiopathic clubfoot undergoing percutaneous tendoachilles tenotomy.

Casting for infantile scoliosis: the pitfall of increased peak inspiratory pressure.

More experienced surgeons less likely to fuse: a focus group review of 315 hypothetical EOS cases.

Upper thoracic pedicle screw loss of fixation causing spinal cord injury: a review of the literature and multicenter case series.

Variability in spinal surgery outcomes among children's hospitals in the United States.

Flexion-extension cervical spine MRI in children with skeletal dysplasia: is it safe and effective?

Subclavian vein thrombosis after application of body cast.

Year: 2013 Volume: 33 Issue: Supplementary 1

Year: 2012 Volume: 32

Year: 2011 Volume: 31

Year: 2010 Volume: 30

Year: 2009 Volume: 29

Year: 2008 Volume: 28

Year: 2007 Volume: 27

Subscapularis avulsion of the lesser tuberosity in adolescents.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Garrigues, Grant E. Warnick, Drew E. Busch, Michael T.
Description	Country affiliation: United States Author Affiliation: Garrigues GE ( Department of Orthopaedic Surgery, Duke University Medical Center, Sports Medicine and Shoulder Surgery, Durham, NC 27710, USA. grant.garrigues@duke.edu)
Abstract	BACKGROUND: Lesser tuberosity avulsion fractures in adolescents occur infrequently. Perhaps because of their rarity, many cases are missed on initial physical exam, imaging studies, and even diagnostic arthroscopy, leading to delay in diagnosis. Without operative intervention, these injuries may cause significant morbidity, whereas operative fixation has predictably good results. We review 6 cases and compare them to a review of the previous published cases. METHODS: All cases of isolated lesser tuberosity avulsions in skeletally immature patients treated by the senior author (MTB) at a pediatric referral center were included. The mean follow-up was over 4 years (range, 2 to 7 y). Operative treatment consisted of a diagnostic arthroscopy to evaluate for concomitant pathology, followed by an open reattachment of the tuberosity through an incision in line with the anterior axillary fold. A lasso technique using suture anchors and sutures to loop over and hold down the fragment is our preferred method as it decreases the risk of fracture seen with fixation using screws or sutures through drill holes in the tuberosity. RESULTS: Even with a frequent delay in diagnosis, all patients had a predictably good outcome with an average American Shoulder and Elbow Surgeons score of 97 (range, 88 to 100) and a Western Ontario Shoulder Instability Index of 94 (range, 84 to 100). The patient history, symptoms, and physical exam findings were consistent across the published cases. The prototypical patient is a male, age 13, who sustains an abduction and extension injury during sports. Anterior shoulder pain, positive belly press, and lift-off signs are frequent findings. CONCLUSIONS: A high index of suspicion is needed to recognize this uncommon injury. History, physical exam for subscapularis function, and magnetic resonance imaging should be diagnostic. Operative treatment with a suture anchor lasso technique leads to predictably good results. LEVEL OF EVIDENCE: Level IV therapeutic study.
File Format	HTM / HTML
ISSN	02716798
Issue Number	1
Journal	Journal of Pediatric Orthopaedics
Volume Number	33
e-ISSN	15392570
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2013-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Tendon Injuries Diagnosis Surgery Adolescent Humans Male Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Pediatrics, Perinatology and Child Health

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Subscapularis tendon injuries in adolescents: a report of 2 cases.

Treating Subscapularis and Lesser Tuberosity Avulsion Injuries in Skeletally Immature Patients: A Systematic Review.

Calcaneal tuberosity avulsion fracture: an unusual variant.

Fly Fishing-related lesser tuberosity avulsion in an adolescent.

The consequences of delayed presentation of lesser tuberosity avulsion fractures in adolescents after repetitive injury.

Avulsion fracture of the lesser trochanter in a skeletally immature freestyle footballer.

Pectoralis major tendon transfer for irreparable subscapularis tears.

PCL tibial avulsion with an associated medial meniscal tear in a child: a case report on diagnosis and management.

High recurrence of instability in adolescents playing contact sports after arthroscopic shoulder stabilization.

Subscapularis avulsion of the lesser tuberosity in adolescents.

Similar Documents

Subscapularis tendon injuries in adolescents: a report of 2 cases.

Treating Subscapularis and Lesser Tuberosity Avulsion Injuries in Skeletally Immature Patients: A Systematic Review.

Calcaneal tuberosity avulsion fracture: an unusual variant.

Fly Fishing-related lesser tuberosity avulsion in an adolescent.

The consequences of delayed presentation of lesser tuberosity avulsion fractures in adolescents after repetitive injury.

Avulsion fracture of the lesser trochanter in a skeletally immature freestyle footballer.

Pectoralis major tendon transfer for irreparable subscapularis tears.

PCL tibial avulsion with an associated medial meniscal tear in a child: a case report on diagnosis and management.

High recurrence of instability in adolescents playing contact sports after arthroscopic shoulder stabilization.

Subscapularis avulsion of the lesser tuberosity in adolescents.