ArticleJournal of surgical case reports2025
Greater tuberosity osteotomy: a treatment breakthrough in a case of bilateral old-unreduced malunion fracture-dislocation of proximal humerus.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Anterior shoulder dislocation occurs in 95% of all shoulder dislocation. Pathological changes such as bone loss may occur in neglected cases, which can cause locking of the humeral head, complicating the procedure needed for reduction. A 26-year-old male patient presented to the clinic with pain and limited range of motion 2 months after a fall, with a history of unsuccessful treatment by a traditional bonesetter and recurrent right shoulder dislocations. The patient was diagnosed with bilateral neglected closed fracture dislocation of proximal humerus Neer 2-part and underwent open reduction with greater tuberosity (GT) osteotomy and PHILOS plate fixation. GT osteotomy for locked fracture-dislocations of the proximal humerus allowed for enhanced posterior visualization, enabling a safer reduction while preserving the subscapularis muscle and facilitating the reconstruction of the Hill-Sachs lesion.
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