Combined Greater and Lesser Tuberosity Fracture of Proximal Humerus with Intact Humeral Head and Shaft - A Case Report.

ABSTRACT

Introduction: Combined fracture of greater and lesser tuberosity is an extremely rare injury. Such fracture pattern has not been described in the Neer's, AO Muller, and Jakob's classification system. Case Presentation We report a unique fracture pattern consisting of combined greater and lesser tuberosity of the proximal humerus (PH) with intact humeral head and shaft in a 32-year-old female. Routine radiographs and computed tomography scan with three-dimensional reconstruction were advised for better understanding of the fracture pattern, later managed by open reduction and fixation with PH locking plate. The patient has excellent clinical, radiological, and functional outcome at the end of 2 years follow-up. Conclusion: This is one among the few case reports highlighting this unique variant of PH fracture, not much has been described in the literature about this injury. Anatomic reconstruction of the fractured tuberosities combined with stable construct by PH locking plate facilitates optimum bone healing and aggressive shoulder rehabilitation.