Open reduction and internal fixation using suture anchors for an isolated lesser tuberosity fracture: description of technique and a case report

Abstract

Isolated fractures of the lesser tuberosity (LT) of the humerus are uncommon and pose diagnostic challenges. This case study explores a distinctive treatment for a displaced and angulated LT fracture in a 27-year-old female skier. Emphasizing open reduction and internal fixation with suture anchors, the study addresses the scarcity of consensus on optimal treatments and the difficulties in accurate diagnosis. The successful application of suture anchors highlights their potential advantages, including biodegradability, improved vascularity, optimized intraoperative workflow without the need for fluoroscopy, and minimized risk of collateral bone damage. This case underscores the importance of surgical intervention for preventing long-term functional impairments in displaced LT fractures and advocates for considering alternative surgical techniques. By contributing insights into the rationale and advantages of using suture anchors, this study aims to enrich the discourse on optimal management strategies for these rare fractures, potentially informing future treatment decisions.