Morphometric and Morphologic anatomic study and clinical significance of Greater tubercle

Morphometric and Morphologic anatomic study and clinical significance of Greater tubercle

In this study, in tuberculum majus fractures, which are proximal humerus fractures; Morphometric measurements were made to guide surgeons and future implants. With the morphometric measurement of the greater tubercle, the length of the base, the length of the height, the length at its widest part, and its circumference were calculated. A 3D scanning device (Faro Focus 3D S120 Scanner Rental) was used to scan the proximal part of the humerus, and the proximal ends of the scanned humerus were transferred to the computer and morphometric measurements were made with the software program. As a result of the measurements made: Average base length of the large tubercle 26±2.34 mm, average anterior height of the greater tubercle 30±2.50 mm, average posterior height of the greater tubercle 9.5±0.4 mm and average Widest sagittal length of the greater tubercle 28.75±2.02 mm. We think that the morphological and morphometry of the tuberculum majus, which is one of the formations at the proximal end of the humerus, will guide surgeons with anatomically designed implants in surgical applications.

___

  • Boileau P, Pennigton SD. Common pitfalls in the management of proximal humeral fractures: how to avoid them. In: Boileau P, Walch G, Mole D, Favard L, Levigne C, Sirveaux F, et al, editors. Shoulder concepts 2008. Proximal humeral fractures and fracture sequelae. Montpellier: Sauramps Medical, 2008. p. 303-23.
  • Hepp P, Theopold J, Voigt C, et al. The surgical approach for locking plate osteosynthesis of displaced proximal humeral fractures influences the functional outcome. J Shoulder Elbow Surg. 2008;17:21-8.
  • Green A. Proximal humerus fractures. In: Norris TR, editor. Orthopaedic knowledge update: shoulder and elbow 2. 2nd ed. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2002. p. 209-17.
  • Rouleau DM, Mutch J, Laflamme GY. Surgical treatment of displaced greater tuberosity fractures of the humerus. J Am Acad Orthop Surg. 2016;24:46-56.
  • Gruson KI, Ruchelsman DE, Tejwani NC. Isolated tuberosity fractures of the proximal humeral: Current concepts. Injury. 2008;39:284-14.
  • Gumina S, Carbone S, Postacchini F. Occult fractures of the greater tuberosity of the humerus. Int Orthop. 2009;33:171-4.
  • Neer CS. Displaced proximal humeral fractures. Part 1. Classification and evaluation. J Bone Joint Surg (Am). 1970; 52:1077-11.
  • Platzer P, Kutscha-Lissberg F, Lehr S, et al. The influence of displacement on shoulder function in patients with minimally displaced fractures of the greater tuberosity. Injury. 2005;36:1185-4.
  • Williams GR, Wong KL. Two-part and three-part fractures: open reduction and internal fixation versus closed reduction and percutaneous pinning. Orthop Clin North Am. 2000;31:1-21.
  • Fick R. Obere Extremit€at. In: Handbuch der Anatomie und Mechanik der Gelenke unter Ber€ucksichtigung der bewegenden Muskeln. Jena: Gustav Fisher; 1904. p. 141-285.
  • Kopsch F. Die Lehre von den Muskeln. Myologia. In: Lehrbuch und Atlas der Anatomie des Menschen Abteilung 3: Muskeln, Gef€aße. Leipzig: Georg Thieme; 1933. p. 1-153.
  • Clemente C. Osteology, and muscles and fasciae of the upper limb. In: Gray’s anatomy. 30th American ed. Philadelphia: Lea & Febiger; 1985. p. 233-4.
  • Fick R. Obere Extremit€at. In: Handbuch der Anatomie und Mechanik der Gelenke unter Ber€ucksichtigung der bewegenden Muskeln. Jena: Gustav Fisher; 1904. p. 141-285.
  • Mochizuki T, Sugaya H, Uomizu M, et al. Humeral insertion of the supraspinatus and infraspinatus. Newanatomical findings regarding the footprint of the rotator cuff.J Bone Joint Surg Am. 2008;90:962 9.
  • Mochizuki T, Sugaya H, Uomizu M, et al. Humeral insertion of the supraspinatus and infraspinatus. Newanatomical findings regarding the footprint of the rotator cuff. Surgicaltechnique. J Bone Joint Surg Am. 2009;91(Suppl 2 Pt 1):1-7.
  • Nozaki T, Nimura A, Fujishiro H et al. The anatomic relationship between the morphology of the greater tubercle of the humerus and the insertion of the infraspinatus tendon. J Shoulder Elbow Surg. 2015;24:555-60.
  • Curtis AS, Burbank KM, Tierney JJ, et al. The insertional footprint of the rotator cuff: an anatomic study. Arthroscopy. 2006;22:609.e1.
  • Minagawa H, Itoi E, Konno N, et al. Humeral attachment of the supraspinatus and infraspinatus tendons: ananatomic study. Arthroscopy. 1998;14:302.
  • Kranioti EF, Bastir M, Sa´nchez-Meseguer A et al. A geometricmorphometric study of the cretan humerus for sex identification. Forensic Sci Int. 2009;189;111:e1–111.
  • Nishida N, Hayashi S, Kakizaki F, et al. Humeral head morphometry can predict the presence of subacromial spurs: measurements of dried bones from human shoulder girdles. Tokai J Exp Clin Med. 2019;44:9-14.
  • Hromádka R, Pokorný D, Popelka S, et al. Three-dimensional geometry of the proximal humerus and rotator cuff attachment and its utilization in shoulder arthroplasty Acta Chir Orthop Traumatol Cech. 2006;73:77-84.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Possible protective role of selenium against liver toxicity induced by cadmium in rats

Banu Eren, Omur Gulsum Deniz, Dilek Sagir

Clinical significance of preoperative neutrophil to lymphocyte ratio in organ-confined urothelial bladder cancer

Engin KOLUKCU, Velid UNSAL, Latif Mustafa ÖZBEK, Osman DEMİR

Investigation of New Delhi metallo-beta-lactamase-1 (blaNDM-1) gene in carbapenemresistant Enterobacterales strains isolated from a university hospital in Turkey

Esra Seker, Merih Simsek, Cengiz Demir

Workplace violence frequency and relationship of violence with life quality, life satisfaction and job satisfaction in healthcare professionals in psychiatry clinics in Konya province

Dursun Hakan Delibas, Seda Kirci Ercan, Berrin Unal, Sehure Azra Yasar, Ebru Ciftci

Contributions of Turkish neurosurgeons on the studies about autonomic nervous system dysfunction following experimental subarachnoid hemorrhag

Bulent Ozdemir, Osman Ersegun Batcik

A study of the correlation between the serum Latexin levels and the mTORC subunits Raptor and Rictor in the molecular pathogenesis of chronic lymphocytic leukemia

Tuba Dogan Edgunlu, Volkan Karakus, Deniz Cetin, Gokhan Pektas

The effect of platelet-rich plasma on chronic pain in osteoarthritic knees

Mehmet BOZ, Abdullah Alper ŞAHİN

Evaluation of the use of alternative and complementary therapies and conception status of women receiving infertility treatment

Asiye Uzun, Guzin Zeren Ozturk, Beray Gelmez Tas4, Saliha Busra Aksu, Ayse Karahasanoglu

Vitamin D status and post sternotomy bone healing; a prospective radiologic observational study

Osman Ciloglu, Haci Ali Ucak, Hasan Uncu, Dilek Ucak, Ozge Ozcan Abacioglu, Orsan Deniz Urgun, Sennur Disli

Splenic artery aneurysm: Management of a rare entity in a series of patients

Server Sezgin ULUDAĞ, Deniz Esin TEKCAN, Nazım GÜREŞ, Ahmet Necati ŞANLI, Berk ARAPİ, Sabri SİROLU, Fatih GÜLŞEN, Abdullah Kağan ZENGİN