Case Report
Year: 2021 | Month: August | Volume: 11 | Issue: 8 | Pages: 86-90
DOI: https://doi.org/10.52403/ijhsr.20210813
Early Physiotherapy Rehabilitation in Patient with Greater Tuberosity Avulsion Re-Fractures Decreases Kinesiophobia: A Case Report
Mrinmayee Deshmukh1, Sanket Mungikar1, Kapil Garg2, Shripad Joshi3
1MPT 2nd year - Masters in Musculoskeletal Physiotherapy, MGM Institute of Physiotherapy, Aurangabad
2Associate Professor, Department of Musculoskeletal Physiotherapy, MGM institute of Physiotherapy, Aurangabad
3Consultant Orthopedic Surgeon, MGM Medical College, Aurangabad
Corresponding Author: Mrinmayee Deshmukh
ABSTRACT
Background: Patients with hyper flexion/hyper abduction injury to the glen humeral joint are at risk for isolated greater tuberosity fractures. There are typically 2 mechanisms of injury for greater tuberosity fractures: impaction and avulsion injury.
Case Presentation: A 24-year-old male patient sustained a shoulder injury as the result of a fall while driving. Left greater tuberosity avulsion fracture was treated with arthroscopic anchor suture ORIF and GT fixation was done. He was then advised physiotherapy and after one and half month, he again fell from stairs which led to an identical fracture on the same side. ORIF with GT fixation with biotape and biowire was done. Physiotherapy treatment was then resumed after 3-4 days. Active assisted range of motion exercises with core activation, isometrics, and strengthening for shoulder joint with scapular muscle was given. Pre and post physiotherapy treatment outcomes for pain, range of motion, muscle strength, disability and kinesiophobia were measured.
Result: After 2 months of physiotherapy treatment, patient reported decrease in pain, TSK score, SPADI score and improvement in shoulder ranges with muscle strength.
Conclusion: Early physiotherapy after surgery for greater tuberosity avulsion fracture decreased pain and kinesiophobia with improvement of range, muscle strength and functional abilities of shoulder joint.
Key words: Greater tuberosity avulsion fracture, Physiotherapy, kinesiophobia.