Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Displaced Scapula Fracture (Ideberg Type IIb) Combined with a Large Rotator Cuff Tear in Anterior Shoulder Dislocation: A Case Report

  • Noh, Young-Min (Department of Orthopedic Surgery, College of Medicine, Dong-A University) ;
  • Kim, Chul-Hong (Orthopedic Surgery Center, Metro Hospital) ;
  • Lee, Seung-Hyun (Department of Orthopedic Surgery, College of Medicine, Dong-A University) ;
  • Im, Chul-Soon (Department of Orthopedic Surgery, College of Medicine, Dong-A University)
  • Received : 2017.03.28
  • Accepted : 2017.07.30
  • Published : 2017.09.30
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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.

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References

  1. Rowe CR. Fractures of the scapula. Surg Clin North Am. 1963;43:1565-71. https://doi.org/10.1016/S0039-6109(16)37145-6
  2. Mayo KA, Benirschke SK, Mast JW. Displaced fractures of the glenoid fossa. Results of open reduction and internal fixation. Clin Orthop Relat Res. 1998;(347):122-30.
  3. Jones CB, Cornelius JP, Sietsema DL, Ringler JR, Endres TJ. Modified judet approach and minifragment fixation of scapular body and glenoid neck fractures. J Orthop Trauma. 2009; 23(8):558-64. https://doi.org/10.1097/BOT.0b013e3181a18216
  4. Schandelmaier P, Blauth M, Schneider C, Krettek C. Fractures of the glenoid treated by operation. A 5- to 23-year follow-up of 22 cases. J Bone Joint Surg Br. 2002;84(2):173-7. https://doi.org/10.1302/0301-620X.84B2.12357
  5. Kim KC, Rhee KJ, Shin HD, Yang JY. Can the glenopolar angle be used to predict outcome and treatment of the floating shoulder? J Trauma. 2008;64(1):174-8. https://doi.org/10.1097/01.ta.0000240982.99842.b9
  6. Ideberg R. Unusual glenoid fractures: a report on 92 cases. Acta Orthop Scand. 1987;58:191-2.
  7. Goss TP. Double disruptions of the superior shoulder suspensory complex. J Orthop Trauma. 1993;7(2):99-106. https://doi.org/10.1097/00005131-199304000-00001
  8. Jaeger M, Lambert S, Sudkamp NP, et al. The AO Foundation and Orthopaedic Trauma Association (AO/OTA) scapula fracture classification system: focus on glenoid fossa involvement. J Shoulder Elbow Surg. 2013;22(4):512-20. https://doi.org/10.1016/j.jse.2012.08.003
  9. Hardegger FH, Simpson LA, Weber BG. The operative treatment of scapular fractures. J Bone Joint Surg Br. 1984;66(5): 725-31. https://doi.org/10.2106/00004623-198466050-00011
  10. Itoi E, Lee SB, Berglund LJ, Berge LL, An KN. The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am. 2000;82(1):35-46. https://doi.org/10.2106/00004623-200001000-00005