Defining the relationship between rotator cuff injury and proximal humerus fractures

Robert Gallo, Robert Sciulli, Richard H. Daffner, Daniel T. Altman, Gregory T. Altman

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

The purpose of our study was to correlate radiographic characteristics with rotator cuff tendon injury on magnetic resonance imaging after fractures of the proximal humerus. We prospectively obtained magnetic resonance imaging on 30 patients with proximal humerus fractures after classifying each fracture radiographically using Neer and AO systems and determining the displacement of the greater tuberosity. Twelve patients (40.0%) had either complete ruptures or avulsions of at least one of the rotator cuff muscles. No abnormality was identified in the rotator cuff musculature in nine patients (29%). Severity of injury to the rotator cuff tendons increased substantially with respect to increasing AO and Neer classes and 5 mm or greater displacement of the greater tuberosity fragment. Additional study is needed to determine the exact role of rotator cuff tendon injury in the ultimate function attained by patients with proximal humerus fractures. Level of Evidence: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.

Original languageEnglish (US)
Pages (from-to)70-77
Number of pages8
JournalClinical Orthopaedics and Related Research
Issue number458
DOIs
StatePublished - Jan 1 2007

Fingerprint

Humerus
Tendon Injuries
Rotator Cuff
Magnetic Resonance Imaging
Tendons
Rupture
Guidelines
Muscles
Rotator Cuff Injuries

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Gallo, Robert ; Sciulli, Robert ; Daffner, Richard H. ; Altman, Daniel T. ; Altman, Gregory T. / Defining the relationship between rotator cuff injury and proximal humerus fractures. In: Clinical Orthopaedics and Related Research. 2007 ; No. 458. pp. 70-77.
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Defining the relationship between rotator cuff injury and proximal humerus fractures. / Gallo, Robert; Sciulli, Robert; Daffner, Richard H.; Altman, Daniel T.; Altman, Gregory T.

In: Clinical Orthopaedics and Related Research, No. 458, 01.01.2007, p. 70-77.

Research output: Contribution to journalArticle

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