title: Combined displaced fracture of the lesser humeral tuberosity and the scapular spine: A case report.
abstract: Introduction Combined displaced fractures of the lesser humeral tuberosity and the scapular spine are highly uncommon and have not been previously reported in literature.
  
  
  METHODS
  The authors report a novel case of a 24 year-old male who sustained displaced fractures of the lesser humeral tuberosity and the scapular spine. Open reduction and internal fixation (ORIF) was performed with a LCP T-plate for the lesser tuberosity and with a LCP Distal Humerus Plate for the scapular spine. At one year, both fractures healed in anatomical alignment and the patient achieved good range of motion and a Constant score of 94 points.
  
  
  CONCLUSIONS
  While isolated fractures of the scapular spine and the lesser tuberosity can be treated conservatively, combination fractures as in the present case are highly unstable. While sufficient evidence is lacking to favor surgical treatment over conservative management, ORIF provided sufficient stability for early mobilization and led to good clinical results.
  
  
  CONCLUSIONS
  Based on the favorable outcome of our case, we provide useful recommendations for surgeons faced with similar injuries.
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Köln, Kerpener Straße 62, D-50937 Köln, Germany; Schulthess Klinik, Lengghalde 2, CH-8008 Zurich, Switzerland. Electronic address: michael.hackl@uk-koeln.de.
authors.forename: Michael
authors.initials: M
authors.lastname: Hackl
authors.affiliation: Schulthess Klinik, Lengghalde 2, CH-8008 Zurich, Switzerland.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Moro
authors.affiliation: Schulthess Klinik, Lengghalde 2, CH-8008 Zurich, Switzerland.
authors.forename: Holger
authors.initials: H
authors.lastname: Durchholz
keywords: Constant score; Deltopectoral approach; Internal fixation; Lesser humeral tuberosity fracture; Open reduction; Scapular spine fracture