Risk factors associated with secondary displacement in fractures of the humeral greater tuberosity
BackgroundThe incidence of secondary displacement in fractures of the greater tuberosity of the humerus remains high, irrespective of whether conservative or surgical treatment is administered. However, the specific risk factors contributing to secondary displacement of the greater tuberosity of the...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1474983/full |
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| author | Qing-Quan Chen Qing-Quan Chen Han-Lin Chen Hong-Shen Wang Xiao-Li Huang Jin-Shui Chen Jin-Shui Chen Xiu Yang Xiu Yang |
| author_facet | Qing-Quan Chen Qing-Quan Chen Han-Lin Chen Hong-Shen Wang Xiao-Li Huang Jin-Shui Chen Jin-Shui Chen Xiu Yang Xiu Yang |
| author_sort | Qing-Quan Chen |
| collection | DOAJ |
| description | BackgroundThe incidence of secondary displacement in fractures of the greater tuberosity of the humerus remains high, irrespective of whether conservative or surgical treatment is administered. However, the specific risk factors contributing to secondary displacement of the greater tuberosity of the humerus have not been previously reported. The primary objective of this study was to analyze the risk factors associated with secondary displacement of the greater tuberosity of the humerus and to summarize corresponding guidelines for clinical diagnosis and treatment.MethodsA retrospective analysis was conducted on patients with fractures of the greater tuberosity of the humerus who received treatment at the same trauma center between January 2018 and December 2022. The following variables were recorded for each patient: age, gender, injured limb (left/right), whether the fracture was comminuted, bone density, fracture displacement, shoulder joint dislocation, treatment plan, and treatment outcomes, including the success rate of reduction and the time of secondary displacement. The patients were categorized into two groups based on the absence or presence of secondary displacement. For statistical analysis, the Mann–Whitney U test and logistic regression analysis were employed. The significance level was set at P < 0.05.ResultsAmong the 177 patients enrolled in this study, 144 (81.36%) did not exhibit secondary displacement, while 33 (18.64%) did present with such displacement. Significant statistical differences were observed between the two groups in mean age, fracture type, bone mineral density, shoulder dislocation, and reduction quality of fracture, indicating a statistically significant association (P < 0.05). However, no significant difference was found in gender, Left/right limbs, displacement of fracture, and treatment method (P > 0.05). Logistic regression analysis revealed that comminuted fractures, osteoporosis, shoulder dislocation and poor reduction independently contributed to an increased risk of secondary displacement of the greater tuberosity of humerus.ConclusionsComminuted fracture, osteoporosis, shoulder dislocation, and poor reduction have been identified as independent risk factors for secondary displacement. In the course of clinical diagnosis and treatment, it is imperative to consider the potential adverse prognosis that may be associated with these conditions. |
| format | Article |
| id | doaj-art-003b2ac52d8b44d387e35e9186c70cb5 |
| institution | OA Journals |
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| language | English |
| publishDate | 2025-04-01 |
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| series | Frontiers in Surgery |
| spelling | doaj-art-003b2ac52d8b44d387e35e9186c70cb52025-08-20T02:24:35ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-04-011210.3389/fsurg.2025.14749831474983Risk factors associated with secondary displacement in fractures of the humeral greater tuberosityQing-Quan Chen0Qing-Quan Chen1Han-Lin Chen2Hong-Shen Wang3Xiao-Li Huang4Jin-Shui Chen5Jin-Shui Chen6Xiu Yang7Xiu Yang8Spinal Ward, Fuzong Clinical Medical College of Fujian Medical University, FuZhou, ChinaSpinal Ward, The 900th Hospital of PLA Joint Logistic Support Force, FuZhou, ChinaSpinal Ward, Fuzong Clinical Medical College of Fujian Medical University, FuZhou, ChinaSpinal Ward, Fuzong Clinical Medical College of Fujian Medical University, FuZhou, ChinaSpinal Ward, Fuzong Clinical Medical College of Fujian Medical University, FuZhou, ChinaSpinal Ward, Fuzong Clinical Medical College of Fujian Medical University, FuZhou, ChinaSpinal Ward, The 900th Hospital of PLA Joint Logistic Support Force, FuZhou, ChinaSpinal Ward, Fuzong Clinical Medical College of Fujian Medical University, FuZhou, ChinaSpinal Ward, The 900th Hospital of PLA Joint Logistic Support Force, FuZhou, ChinaBackgroundThe incidence of secondary displacement in fractures of the greater tuberosity of the humerus remains high, irrespective of whether conservative or surgical treatment is administered. However, the specific risk factors contributing to secondary displacement of the greater tuberosity of the humerus have not been previously reported. The primary objective of this study was to analyze the risk factors associated with secondary displacement of the greater tuberosity of the humerus and to summarize corresponding guidelines for clinical diagnosis and treatment.MethodsA retrospective analysis was conducted on patients with fractures of the greater tuberosity of the humerus who received treatment at the same trauma center between January 2018 and December 2022. The following variables were recorded for each patient: age, gender, injured limb (left/right), whether the fracture was comminuted, bone density, fracture displacement, shoulder joint dislocation, treatment plan, and treatment outcomes, including the success rate of reduction and the time of secondary displacement. The patients were categorized into two groups based on the absence or presence of secondary displacement. For statistical analysis, the Mann–Whitney U test and logistic regression analysis were employed. The significance level was set at P < 0.05.ResultsAmong the 177 patients enrolled in this study, 144 (81.36%) did not exhibit secondary displacement, while 33 (18.64%) did present with such displacement. Significant statistical differences were observed between the two groups in mean age, fracture type, bone mineral density, shoulder dislocation, and reduction quality of fracture, indicating a statistically significant association (P < 0.05). However, no significant difference was found in gender, Left/right limbs, displacement of fracture, and treatment method (P > 0.05). Logistic regression analysis revealed that comminuted fractures, osteoporosis, shoulder dislocation and poor reduction independently contributed to an increased risk of secondary displacement of the greater tuberosity of humerus.ConclusionsComminuted fracture, osteoporosis, shoulder dislocation, and poor reduction have been identified as independent risk factors for secondary displacement. In the course of clinical diagnosis and treatment, it is imperative to consider the potential adverse prognosis that may be associated with these conditions.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1474983/fullgreater tuberosity of humerusfracturesecondary displacementrisk factorsfractures of the proximal humerus |
| spellingShingle | Qing-Quan Chen Qing-Quan Chen Han-Lin Chen Hong-Shen Wang Xiao-Li Huang Jin-Shui Chen Jin-Shui Chen Xiu Yang Xiu Yang Risk factors associated with secondary displacement in fractures of the humeral greater tuberosity Frontiers in Surgery greater tuberosity of humerus fracture secondary displacement risk factors fractures of the proximal humerus |
| title | Risk factors associated with secondary displacement in fractures of the humeral greater tuberosity |
| title_full | Risk factors associated with secondary displacement in fractures of the humeral greater tuberosity |
| title_fullStr | Risk factors associated with secondary displacement in fractures of the humeral greater tuberosity |
| title_full_unstemmed | Risk factors associated with secondary displacement in fractures of the humeral greater tuberosity |
| title_short | Risk factors associated with secondary displacement in fractures of the humeral greater tuberosity |
| title_sort | risk factors associated with secondary displacement in fractures of the humeral greater tuberosity |
| topic | greater tuberosity of humerus fracture secondary displacement risk factors fractures of the proximal humerus |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1474983/full |
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