case_images: PMC9091397_01
case_images: Plain anteroposterior radiograph of the right shoulder showing displaced greater tuberosity fracture with no associated subluxation/dislocation.
case_images: JOCR-12-34-g001.jpg
case_images: PMC9091397_01_JOCR-12-34-g001.jpg
case_images: F1
case_images: Initial impression on plain radiograph anteroposterior (AP) view of the right shoulder showed displaced greater tuberosity fracture with no other obvious bony injury (Fig. 1).
case_images: CT scan sagittal cuts (a and b) and axial cuts (c and d) showing greater and lesser tuberosity fragments with head shaft continuity.
case_images: JOCR-12-34-g002.jpg
case_images: PMC9091397_01_JOCR-12-34-g002.jpg
case_images: F2
case_images: CT scan with sagittal and axial cuts demonstrated comminuted greater tuberosity fracture and displaced lesser tuberosity fracture with head shaft in continuity (Fig. 2a-d).
case_images: 3-D reconstruction images showing anterior (a) and posterior (b) aspect of the right glenohumeral joint with comminuted greater tuberosity fracture and displaced lesser tuberosity with intact glenohumeral joint.
case_images: JOCR-12-34-g003.jpg
case_images: PMC9091397_01_JOCR-12-34-g003.jpg
case_images: F3
case_images: CT scan with three-dimensional reconstruction (3-D) was done for further understanding of fracture configuration which confirmed fracture of greater tuberosity which was displaced 10 mm superiorly and 5 mm posteriorly, furthermore, to our surprise, lesser tuberosity fracture displaced 6 mm medially was also noticed (Fig. 3).
case_images: Intraoperative picture showing PHILOS plate fixation with both the tuberosities secured to the plate through Ethibond no. 5.
case_images: JOCR-12-34-g004.jpg
case_images: PMC9091397_01_JOCR-12-34-g004.jpg
case_images: F4
case_images: PH locking plate was applied and the Ethibond sutures were passed through islets of the plates (Fig. 4).
case_images: Two years follow-up plain radiographs anteroposterior (a) and lateral (b) views showing anatomical reduction of both the tuberosities with complete radiological healing.
case_images: JOCR-12-34-g005.jpg
case_images: PMC9091397_01_JOCR-12-34-g005.jpg
case_images: F5
case_images: At 2 years follow-up, plain radiographs of the right shoulder confirmed united greater and lesser tuberosities (Fig. 5a, 5b).