Lesser Tuberosity Avulsions in Adolescents
| العنوان: | Lesser Tuberosity Avulsions in Adolescents |
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| المؤلفون: | Lorenzo Nardo, Benjamin C. Ma, Lynne S. Steinbach |
| المصدر: | HSS journal : the musculoskeletal journal of Hospital for Special Surgery, vol 10, iss 3 |
| بيانات النشر: | SAGE Publications, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Osteochondroma, medicine.medical_specialty, Physical Injury - Accidents and Adverse Effects, Sports medicine, shoulder, Clinical Sciences, Clinical Research, Internal medicine, subscapularis, medicine, Orthopedics and Sports Medicine, Rotator cuff, Lesser Tuberosity, Current Topics, Advances and Innovations in Musculoskeletal Imaging, business.industry, Pain Research, Injuries and accidents, Subscapularis tendon, medicine.disease, rotator cuff, Rheumatology, Surgery, trauma, Orthopedics, medicine.anatomical_structure, Musculoskeletal, Orthopedic surgery, Public Health and Health Services, Chronic Pain, business, MRI |
| الوصف: | BackgroundSubscapularis tendon avulsions of the lesser tuberosity are relatively rare and often missed acutely and their characteristic appearance is frequently not recognized or is misinterpreted for an osteochondroma or a neoplastic process.Questions/purposesThis report reviews our experience with six adolescents who had subscapularis tendon avulsions of the lesser tuberosity.MethodsSix male adolescents (12-15years) presented with shoulder pain following history of trauma during amateur sport. Clinical notes including range of motion, strength tests, and pain assessment were reviewed along with imaging studies pre- and post treatment. Treatment consisted of either surgical or conservative measures.ResultsTwo of the six patients had a large avulsion that simulated an exostosis of the proximal humerus that was misdiagnosed as an osteochondroma at two different outside institutions. All six cases were diagnosed with subscapularis tendon avulsion of the lesser tuberosity following clinical and imaging evaluation at our institution. Five of the patients underwent surgical repair and fixation of the tendon and the lesser tuberosity with suture anchors. One patient was treated conservatively. All patients had a good outcome with recovery of full shoulder strength and motion upon follow-up.ConclusionClinicians should have a high index of suspicion of lesser tuberosity avulsions in adolescents who present with loss of internal rotation and anterior shoulder pain following traumatic injuries. In addition, an osseous fragment or exostosis along the inferomedial humeral head should suggest a subscapularis tendon avulsion and also should not be confused with an osteochondroma or a neoplastic process. |
| وصف الملف: | application/pdf |
| تدمد: | 1556-3324 1556-3316 |
| DOI: | 10.1007/s11420-014-9400-1 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3b42b6de72b0fc5311cdf57029885c33 https://doi.org/10.1007/s11420-014-9400-1 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....3b42b6de72b0fc5311cdf57029885c33 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15563324 15563316 |
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| DOI: | 10.1007/s11420-014-9400-1 |