Introduction: Most greater tuberosity humerus fractures can be treated successfully with either surgical or conservative methods and good results can be expected if fracture heals anatomically but a displaced fracture or an improperly reduced fracture can lead to a symptomatic mal-union.

Case Presentation: 36years old man with mal-united greater tuberosity fracture presented to us 18 months following injury and percutaneous screw fixation and 9 months after screw removal. She complained of severe restriction of shoulder movements. A good result was achieved after corrective open reduction and fixation of the greater tuberosity and rotator cuff repair.

Conclusion: Open reduction, re-fixation and soft tissue reconstruction can give excellent results in cases of malunited greater tuberosity fractures even as late as 20 months after trauma.

Keywords: Malunited greater tuberosity, Rotator cuff repair, Open reduction.

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