The Operative Treatment of Scapular Glenoid Fracture

Kang,  Ho Jung; Jung,  Sung Hoon; Jung,  Min; Hahn,  Soo Bong; Kim,  Sung Jae; Kim,  Jong Min

doi:2007.10.2.212

Clin Shoulder Elb > Volume 10(2); 2007 > Article

Original Article

Journal of the Korean Shoulder and Elbow Society 2007;10(2):212-219.
DOI: https://doi.org/10.5397/CiSE.2007.10.2.212 Published online December 31, 2007.

The Operative Treatment of Scapular Glenoid Fracture

Ho Jung Kang, Sung Hoon Jung, Min Jung, Soo Bong Hahn, Sung Jae Kim, Jong Min Kim

¹Department of Orthopaedic Surgery, Yonsei University College Medicine, Seoul, Korea.
²Department of Orthopaedic Surgery, Kwangmyung Sung-Ae General hospital, Kwangmyung, Korea. doctors@hanmail.net

견갑골 관절와 골절의 수술적 치료

강호정·정성훈·정민·한수봉·김성재·김종민*

연세대학교 의과대학 정형외과학 교실, 광명성애병원 정형외과*

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.

Key Words: Scapula; Glenoid fracture; Open reduction