fracture
Posterior process fractures

Anatomy
Posterolateral & Posteromedial tubercles
- separated by sulcus for FHL
Clay-shovelers
Definition
Spinous process avulsion
- typically C7
- can be seen in thoracic spine
Mechanism
Complications
Complications
Subscapularis failure
Rotator cuff failure
Instability
Infection
Periprosthetic fracture
Aseptic loosening
Neurological injury
Incidence
Parada et al. J Should Elbow Surg 2021
- 2224 aTSA complication rate 11%, revision rate 5.6%


