Clinics in Shoulder and Elbow  2017;20(3):162-166

doi:10.5397/cise.2017.20.3.162

Displaced Scapula Fracture (Ideberg Type IIb) Combined with a Large Rotator Cuff Tear in Anterior Shoulder Dislocation: A Case Report.

Young Min NOH ; Chul Hong KIM ; Seung Hyun LEE ; Chul Soon IM

Keywords

Scapula fracture; Shoulder fracture dislocation; Ideberg classification; Glenoid fossa

Country

Republic of Korea

Language

English

Abstract

Traumatic anterior shoulder dislocation combined with scapular fracture in elderly patients is relatively rare. In this case, a patient visited Emergency Room of Dong-A University Hospital for shoulder pain after falling off a ladder. Radiographs demonstrated anterior shoulder dislocation with displaced Ideberg type IIb scapula (glenoid fossa) fracture combined with a large rotator cuff tear on magnetic resonance imaging. We performed arthroscopic rotator cuff repair, but a large fragment in the inferior glenoid was left untreated. At the 1 year follow-up visit, the pain visual analogue scale of the patient was 2, the American Shoulder and Elbow Society score was 88 and the patient had gained nearly full range of motion without any apprehension.