Objective To evaluate the clinical effect of arthroscopic reduction and fixation with anchor nail combined with cannulated screw for Fracture of greater tubercle of humerus secondary to shoulder dislocation.Methods Retrospective study was conducted to analyze 23 patients with Fracture of greater tubercle of humerus secondary to shoulder dislocation from October 2018 to September 2022.All patients were treated with arthroscopic assisted reduction of fracture block and internal fixation with anchor nail combined with cannulated screw.The patients'preoperative and 6-month postoperative mobility of the affected limb,postoperative fracture healing time,6-month postoperative VAS pain scores,UCLA shoulder scores,and Constant-Murley scores were collected to clarify the efficacy.Results Comparison of the preoperative and postoperative mobility of the affected limbs in 23 patients showed statistically significant differences(P<0.05).The patients'fracture healing time was(12.0±1.0)weeks,and the VAS pain score(0.7±0.6),UCLA shoulder score(32.0±2.3),and Constant-Murley score(93.7±3.4)at 6 months postoperatively had an excellent rate of 100% .All patients had no postoperative complications such as infection,internal fixation failure,or fracture displacement.Conclusion Arthroscopic reduction and fixation with anchor nail combined with cannulated screw for Fracture of greater tubercle of humerus secondary to shoulder dislocation is a safe and effective surgical method for the treatment with minimally invasive incision and less postoperative pain.
Fracture of greater tuberosity of humerusDislocation of the shoulderArthroscopicHollow screwAnchor nail