How to deal with a glenoid fracture

Frich, Lars Henrik; Larsen, Morten Schultz

doi:10.1302/2058-5241.2.160082

Cited by 22 publications

(16 citation statements)

References 50 publications

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“…The fracture healed only after immobilization without any surgical treatment. On the other hand, glenoid rim fractures often lead to chronic shoulder instability, and avulsion fractures of more than 5 mm with the instability of the glenohumeral joint may require operative stabilization[ 18 , 19 ]. Patients with glenoid fracture treated with arthroscopic anchor or screw fixation can also achieve uneventful healing and good functional results[ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment of a rotator cuff tear combined with iatrogenic glenoid fracture and shoulder instability: A rare case report

Chiang

Tsai

Tung

et al. 2020

WJO

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BACKGROUND The brisement manipulation is an effective treatment for refractory shoulder stiffness. Rotator cuff tears can sometimes exist in combination with adhesive capsulitis. Arthroscopic capsular release combined with rotator cuff repair has achieved good outcomes in published reports. CASE SUMMARY We report the case of a patient with right shoulder pain for more than 1 year that was suspected to have adhesive capsulitis and a rotator cuff tear that was treated with brisement manipulation and arthroscopic management. An iatrogenic glenoid fracture with shoulder instability occurred during the manipulation. Arthroscopic treatment for fracture fixation, capsular release, and rotator cuff repair was performed, and the functional results are reported. CONCLUSION Arthroscopic fixation for iatrogenic glenoid fracture and repairing coexisting rotator cuff tear can provide the stability needed for early rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Treatment of a rotator cuff tear combined with iatrogenic glenoid fracture and shoulder instability: A rare case report

Chiang

Tsai

Tung

et al. 2020

WJO

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“…The Ideberg classification characterizes six glenoid fracture types and is the most commonly used system to describe fractures of the glenoid fossa and rim (Table ). 1,5 Our patient's fracture was classified as type II glenoid fossa fracture with inferior neck extension (Image 1). Typically, fractures within type II or greater require some measure of surgical intervention.…”

Section: How Might This Improve Emergency Medicine Practice?mentioning

confidence: 99%

“…Computed tomography (CT) combined with 3D reconstruction is recommended if intra-articular involvement or significant displacement is suspected, as these images permit accurate classification of the fracture and inform subsequent surgical decisions (Image 2). 1 The American Osteopathic Foundation also offers a widely used classification system for glenoid fractures: F0 = fracture of the articular segment, not involving the glenoid fossa; F1 = simple glenoid fossa fractures; and F2 = multi-fragmentary glenoid fossa fractures. 1 The Ideberg classification is the system preferred by the orthopedic community as it is more descriptive in its characterization of fracture patterns.…”

Section: How Might This Improve Emergency Medicine Practice?mentioning

confidence: 99%

“…1 The American Osteopathic Foundation also offers a widely used classification system for glenoid fractures: F0 = fracture of the articular segment, not involving the glenoid fossa; F1 = simple glenoid fossa fractures; and F2 = multi-fragmentary glenoid fossa fractures. 1 The Ideberg classification is the system preferred by the orthopedic community as it is more descriptive in its characterization of fracture patterns.…”

Section: How Might This Improve Emergency Medicine Practice?mentioning

confidence: 99%

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Case of Displaced Glenoid Fracture After Fall: Subtle Findings with Significant Implications for Trauma Patients

Sebt

Barden

Leroux

2021

Clinical Practice and Cases in Emergency Medicine

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Case Presentation: A 64-year-old man presented to the emergency department with a chief complaint of left shoulder pain after a mechanical fall from standing. Plain radiography revealed a displaced fracture of the inferior glenoid rim. A computed tomography further characterized the fracture and the patient was taken emergently by an orthopedic surgeon for open reduction and internal fixation. Discussion: Scapula fractures, especially isolated glenoid rim fractures, are rare and most typical of high-energy mechanism traumas. A missed or delayed diagnosis can result in long-term suffering and disability. Awareness of radiographic as well as physical findings and the subsequent classification system described below can optimize outcomes for trauma patients with glenoid fractures.

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“…This article will not, however, concern itself with intra-articular fractures of the glenoid fossa, which have recently been discussed in this journal. 7 , 8 …”

Section: Introductionmentioning

confidence: 99%

Scapula fractures: a review

Limb

2021

EFORT Open Reviews

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A consensus is beginning to emerge about the indications for fixation of fractures involving the glenoid fossa of the scapula. The same cannot be firmly said for extra-articular fractures of the blade or the processes of the scapula, with a good deal of reliance on expert opinion from high-volume centres. There are no randomized controlled studies and the systematic reviews that do exist can only pool the data from available case series, making meaningful meta-analysis of limited value. Interest in scapula fractures has increased of late due to the specific association of fractures of the scapular spine and acromion with reverse shoulder arthroplasty. This review summarizes the available evidence that can assist decision making when faced with a patient with a scapula fracture. Which patients should at least be considered for open reduction and internal fixation, either in the centre where they present or after referral to a more specialist centre? These patients are those with a fracture sufficiently displaced that it interferes with the mechanical function of the shoulder girdle and the aim of fixation is to reduce pain and disability. Since the majority of scapula fractures heal quickly with non-surgical treatment and do not cause significant disability, decision making can be difficult, and it is perhaps the case that it is easier to err on the side of caution. However, it seems that there are fracture types, such as significantly displaced double disruptions of the superior suspensory complex, widely displaced lateral column fractures and fractures producing angular deformity of the glenoid process, that benefit from early reduction and stabilization with the expectation of a good outcome for the patient. Cite this article: EFORT Open Rev 2021;6:518-525. DOI: 10.1302/2058-5241.6.210010

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How to deal with a glenoid fracture

Cited by 22 publications

References 50 publications

Treatment of a rotator cuff tear combined with iatrogenic glenoid fracture and shoulder instability: A rare case report

Treatment of a rotator cuff tear combined with iatrogenic glenoid fracture and shoulder instability: A rare case report

Case of Displaced Glenoid Fracture After Fall: Subtle Findings with Significant Implications for Trauma Patients

Scapula fractures: a review

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