Modified Hook Wiring Technique for Greater Tuberosity Fractures, a Prospective Study

Study Overview
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Brief Summary
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the purpose of this study is to assess functional and radiological outcome of open reduction and internal fixation of isolated displaced greater tuberosity fractures (more than 5mm displacement) in adults advocating modified hook wiring with a follow-up period of one year.

Detailed Description
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after being informed about the study and potential risks, all enrolled cases giving informed consent will undergo fixation of their fractured greater tuberosity, then physiotherapy. patients will be followed up till full union, clinical and radiological follow up for at least one year utilizing approved clinical scores and radiological criteria for healing. any complication will be recorded.

Official Title
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Modified Hook Wiring Technique for Greater Tuberosity Fractures, a Prospective Study

Conditions
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Greater Tuberosity Fractures

Intervention / Treatment
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* Procedure: fixation of greater tuberosity fractures


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients presented and admitted at Mansoura Trauma, emergency hospital affiliated to Mansoura university, with acute isolated displaced GT fractures ( more than 5mm displacement), with/without glenohumeral dislocations, with age between 18years to 50 years. Exclusion Criteria: Skeletally immature patients (less than 18 years), age more than 50 years. Open and pathological fractures Associated proximal humeral fractures History of previous GH dislocations History of previous shoulder injuries or surgeries

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: cases undergoing fixation of fractured greater tuberosity<br> | Procedure: fixation of greater tuberosity fractures<br>* deltopectoral approach for shoulder, then open reduction and fixation of displaced greater tuberosity fractures using hooked Kirshner wires<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| functional outcome using American Shoulder and Elbow Surgeons (ASES) Standardized Shoulder Assessment score | postoperative assessing pain, range of motion, function of shoulder. Scores range from 0 to 100 with a score of 0 indicating a worse shoulder condition and 100 indicating a better shoulder condition | at least one year follow up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| healing time | estimate time till radiological healing on follow-up radiographs | anticipated 2-4 months |