[Sonographic findings in radiologically non-displaced proximal humerus fractures].
In 5 patients with radiological nondisplaced fracture of the proximal humerus and persistent pain of the involved shoulder joint, ultrasonic evaluation was performed statically and dynamically. All patients suffered from a nondisplaced two-part fracture of the greater tuberosity. In four cases we found a significant cranialisation of the greater tuberosity between 1 and 8 mm. Furthermore, we identified a ventral cleft on the fracture side as well as a dorsal dislocation of the fragment. During dynamic examination we observed an impingement of the supraspinatus tendon between the acromion and the greater tuberosity.


CONCLUSIONS
In primary diagnosis of cases with a questionable dislocated fragment and in patients with persistent pain after proximal humeral head fractures, diagnostic ultrasound investigation may yield additional information. This may influence further treatment.
Jerosch
J
J
Orthopädische Klinik und Poliklinik, Medizinische Einrichtungen Düsseldorf.
Müller
G
G
D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000000981:diagnostic imaging; D016059:Range of Motion, Articular / Q000502:physiology; D012784:Shoulder Fractures / Q000000981:diagnostic imaging*; D012785:Shoulder Joint / Q000000981:diagnostic imaging; D014463:Ultrasonography
Sonographische Befunde bei radiologisch unverschobenen proximalen Humerusfrakturen.