The Operative Treatment of Scapular Glenoid Fracture.
- Author:
Ho Jung KANG
1
;
Sung Hoon JUNG
;
Min JUNG
;
Soo Bong HAHN
;
Sung Jae KIM
;
Jong Min KIM
Author Information
1. Department of Orthopaedic Surgery, Yonsei University College Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Scapula;
Glenoid fracture;
Open reduction
- MeSH:
Bone Resorption;
Classification;
Fractures, Comminuted;
Humans;
Internal Fixators;
Retrospective Studies;
Scapula;
Shoulder
- From:Journal of the Korean Shoulder and Elbow Society
2007;10(2):212-219
- CountryRepublic of Korea
- Language:Korean
-
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.
