title: [Post-traumatic impingement syndrome caused by a displaced tuberculum majus fragment].
abstract: The posttraumatic impingement-syndrome caused by displacement and retraction of the entire great tuberosity with the bony insertions of the supraspinatus or infraspinatus muscle is often diagnosed with delay. Two types are distinguished: 1. The fracture of great tuberosity with proximal and dorsal dislocation of the fragment impairs motion by impinging under the acromion and against the posterior glenoid wall. 2. The multi-fragment bony fracture at the rotator cuff insertion, usually finish in rotator cuff deficiency. The analysis of the last 22 operated patients demonstrates the important preoperative complaints, commonly during a long time before reconstruction. The excellent postoperative results show the importance of the early and generous management of proximal humeral fractures.
authors.affiliation: Chirurgische Abteilung, Kreisspital Rüti ZH.
authors.forename: C
authors.initials: C
authors.lastname: Thür
authors.forename: M
authors.initials: M
authors.lastname: Biedermann
mesh_terms: D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Das Posttraumatische Impingement-Syndrom durch hochgestiegenes Tuberculum-majus-Fragment.