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Updated: Dec 6, 2025

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Arthroscopic Reduction and Internal Fixation of Proximal Humerus Greater Tuberosity Fracture
Shiv P Patel1, Clayton W Nuelle2,3, Robert U Hartzler2,4,3
1Baylor College of Medicine-Burkhart Research Institute for Orthopaedics, San Antonio, Texas, U.S.A.
Abstract:
Proximal humerus fractures are common fractures that may occur after ground level falls or other traumatic events resulting in a direct injury to the shoulder. Depending on the fracture morphology and the age of the patient, anatomic reduction can vastly improve outcomes, especially in fracture patterns that involve the greater tuberosity. In this case example, we performed a minimally invasive, arthroscopic reduction and fixation of a proximal humerus fracture that involved significant displacement of the greater tuberosity. The technique employed is reproducible and avoids the morbidity of a large open incision while simultaneously providing compression of the fracture fragment for excellent healing potential.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

