Berbig R, Keller H, Metzger U
Chirurgische Abteilung des Stadtspitals Triemli Zürich.
Z Unfallchir Versicherungsmed. 1994 Sep;87(3):159-68.
Only 17 cases of isolated avulsion fracture of the lesser tuberosity have been reported in the literature since Hartigan's report in 1895. Whereas in children, conservative treatment is almost successful, in adults operative restoration is the method of choice in order to obtain full painless range of motion with normal strength of muscle control. Surgical excision of the fragment of lesser tuberosity after failed conservative treatment may relieve the patient's symptoms. Three own cases and a review of the literature are discussed.
自1895年哈蒂根报告以来,文献中仅报道了17例孤立的小粗隆撕脱骨折。在儿童中,保守治疗几乎总能成功;而在成人中,手术复位是首选方法,以便获得无痛的全范围活动及正常的肌肉控制力量。保守治疗失败后,手术切除小粗隆碎片可能会缓解患者症状。本文讨论了3例本人的病例并回顾了相关文献。