Management of the floating shoulder: Does the glenopolar angle influence outcomes? A systematic review

Morey, Vivek Machhindra; Chua, Kerk Hsiang; Ng, Zhixu; Tan, H.M.B.; Kumar, Veerendra

doi:10.1016/j.otsr.2017.11.004

Cited by 19 publications

(11 citation statements)

References 18 publications

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“…The glenoid covers only one third of the humeral head articular surface and the joint capsule is relatively lax. This makes the joint highly susceptible to instability and prone to dislocation [28] . Glenohumeral dislocation account for 50% of all dislocations and are most common in young men [3] .…”

Section: Glenohumeral Dislocationmentioning

confidence: 99%

Imaging of traumatic shoulder injuries – Understanding the surgeon’s perspective

Bao

DeAngelis

2022

European Journal of Radiology Open

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Section: Glenohumeral Dislocationmentioning

confidence: 99%

Imaging of traumatic shoulder injuries – Understanding the surgeon’s perspective

Bao

DeAngelis

2022

European Journal of Radiology Open

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“…More recently the glenopolar angle has been added to the list and shows promise, though a recent systematic review demonstrated that the positive relationship between glenopolar angle and outcome that has been published will need larger studies to prove. 28 It is not unusual to hear medialization of the glenoid mentioned as an indication for surgery, but care should be taken with this concept. Apparent medialization is actually often caused by lateral displacement of the lateral border of the scapula under the influence of the attached teres muscles.…”

Section: Indications For Surgerymentioning

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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“…In einer 2018 veröffentlichten Metaanalyse von Morey et al wurden die verschiedenen Behandlungsoptionen (konservative Therapie, die isolierte Versorgung der Klavikulafraktur oder die kombinierte Adressierung von Skapulahals und Klavikula) verglichen. Keine Strategie zeigte sich der anderen überlegen, die Rekonstruktion des glenopolaren Winkels ist auch hier Grundvoraussetzung für ein gutes Ergebnis [39].…”

Section: Versorgung Einer Sssc-verletzungunclassified