J Korean Shoulder Elbow Soc.  2007 Dec;10(2):212-219.

The Operative Treatment of Scapular Glenoid Fracture

• Kang HJ
• Jung SH
• Jung M
• Hahn SB
• Kim SJ
• Kim JM

Abstract

PURPOSE: To determine the causes of the surgical treatment results in glenoid fracture by a retrospective analysis.
MATERIALS AND METHODS
From March 1999 to February 2004, 9 patients who underwent an open reduction due to a glenoid fracture were reviewed. The modified Ideberg classification was used. There were 1, 3, 2, 1 and 2 cases of modified Ideberg type I, II, III, V, and VI, respectively. The internal fixators were a reconstruction plate, a small plate, a one-third tubular plate, a small screw, and a cannulated screw in 6, 1, 3, 3 and 1 case, respectively. The constant score and Adam's functional assessment method were used to evaluate the postoperative shoulder function.
RESULTS
The average time for fracture union was 7 weeks. The functional assessment was excellent in 4 cases, good in 3 cases, and fair in 2 cases. There were two complications related to surgery; articular screw encroachment, and inferior glenoid bone resorption without instability.
CONCLUSION
A glenoid fracture with glenohumeral instability or displaced that was treated by open surgery showed good clinical results. Moreover, the more comminuted fracture had a lower functional score.

Keyword

Scapula; Glenoid fracture; Open reduction

MeSH Terms

Bone Resorption
Classification
Fractures, Comminuted
Humans
Internal Fixators
Retrospective Studies
Scapula
Shoulder