Clin Should Elbow.  2023 Sep;26(3):306-311. 10.5397/cise.2022.01151.

Normal ossification of the glenoid mimicking a glenoid fracture in an adolescent patient: a case report

Affiliations
  • 1Pediatric Orthopedic, Department of Orthopedic Surgery and Traumatology, Hospital Infantil Universitario Niño Jesús, Madrid, Spain
  • 2Department of Diagnostic Imaging, Hospital Infantil Universitario Niño Jesús, Madrid, Spain

Abstract

A 13-year-old male was diagnosed with a glenoid fracture following direct shoulder trauma, for which surgical treatment was considered. After referral to a center for pediatric orthopedic care, physical examination, contralateral shoulder X-ray, and detailed computed tomography examination ruled out the presence of fracture; these findings were later confirmed by magnetic resonance imaging. Normal ossification patterns in the adolescent shoulder may simulate a fracture in traumatic settings. To accurately diagnose and manage pediatric shoulder pathology, orthopedic surgeons must be aware of the normal anatomy of the growing shoulder, its secondary ossification centers, and growth plates.

Keyword

Glenoid; Shoulder; Ossification center; Child development; Trauma
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