Neglected subscapularis apophyseal plate avulsion fracture in skeletal immaturity: a case report
Kwang Kyun Yang1, Sung Il Wang1,2
1Research Insitute of Clinical Medicine of Jeonbuk National University–Biomedical Research Insitute of Jeonbuk National University Hospital, 2Department of Orthopaedics Surgery, Jeonbuk National University Medical School, Jeonju, Korea
Correspondence to: Sung Il Wang, https://orcid.org/0000-0002-3890-6516
Department of Orthopaedics Surgery, Jeonbuk National University Medical School, Research Insitute for Endocrine Sciences and Research Insitute of Clinical Medicine of Jeonbuk National University–Biomedical Research Insitute of Jeonbuk National University Hospital, 567 Baekje-daero, Deokjin-gu, Jeonju 54896, Korea. Tel: +82-63-250-1760, Fax: +82-63-271-6538, E-mail: wsi1205@naver.com
Department of Orthopaedics Surgery, Jeonbuk National University Medical School, Research Insitute for Endocrine Sciences and Research Insitute of Clinical Medicine of Jeonbuk National University–Biomedical Research Insitute of Jeonbuk National University Hospital, 567 Baekje-daero, Deokjin-gu, Jeonju 54896, Korea. Tel: +82-63-250-1760, Fax: +82-63-271-6538, E-mail: wsi1205@naver.com
Received August 13, 2023; Revised October 6, 2023; Accepted October 7, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Abstract
- The avulsion of the subscapularis apophyseal plate or lesser tuberosity in patients with skeletal immaturity is a rare occurrence. These sports-related injuries have been reported in hockey, lacrosse, baseball, football, wrestling, and soccer. The incidence of injury in younger patients has increased with greater participation in athletic activity, but subscapularis apophyseal plate avulsion or lesser tuberosity avulsion fractures are frequently missed. Delayed diagnosis inevitably results in nonunion, chronic shoulder pain, and functional deterioration. Here, we present a case of a subscapularis apophyseal plate avulsion fracture that occurred at 12 years of age and was neglected for 10 years. This case report aimed to draw attention to the importance of accurate diagnosis and early treatment for subscapularis apophyseal plate avulsion fracture.
- Keywords : Subscapularis; Tendons; Lesser tuberosity; Avulsion; Adolescent
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