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The Operative Treatment of Scapular Glenoid Fracture

견갑골 관절와 골절의 수술적 치료

  • Kang, Ho-Jung (Department of Orthopaedic Surgery, Yonsei University College Medicine) ;
  • Jung, Sung-Hoon (Department of Orthopaedic Surgery, Kwangmyung Sung-Ae General hospital) ;
  • Jung, Min (Department of Orthopaedic Surgery, Yonsei University College Medicine) ;
  • Hahn, Soo-Bong (Department of Orthopaedic Surgery, Yonsei University College Medicine) ;
  • Kim, Sung-Jae (Department of Orthopaedic Surgery, Yonsei University College Medicine) ;
  • Kim, Jong-Min (Department of Orthopaedic Surgery, Kwangmyung Sung-Ae General hospital)
  • 강호정 (연세대학교 의과대학 정형외과학 교실) ;
  • 정성훈 (광명성애병원정형외과) ;
  • 정민 (연세대학교 의과대학 정형외과학 교실) ;
  • 한수봉 (연세대학교 의과대학 정형외과학 교실) ;
  • 김성재 (연세대학교 의과대학 정형외과학 교실) ;
  • 김종민 (광명성애병원 정형외과)
  • Published : 2007.12.15

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.

Keywords

Scapula;Glenoid fracture;Open reduction

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Cited by

  1. Treatment of Anterior Glenoid Rim Fracture with Comminuted Fragment Using Arthroscopic Reduction and AO Headless Compression Screw Fixation - A Case Report - vol.14, pp.1, 2011, https://doi.org/10.5397/CiSE.2011.14.1.094