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KMID : 0858320070100020212
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Journal of the Korean Shoulder Elbow Society
2007 Volume.10 No. 2 p.212 ~ p.219
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The Operative Treatment of Scapular Glenoid Fracture
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Kang Ho-Jung
Hahn Soo-Bong
Jung Min
Kim Sung-Jae
Jung Sung-Hoon
Kim Jong-Min
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Abstract
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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.
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KEYWORD
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Scapula, Glenoid fracture, Open reduction
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