Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Normal ossification of the glenoid mimicking a glenoid fracture in an adolescent patient: a case report

  • Maria Galan-Olleros (Department of Pediatric Orthopedics and Department of Orthopedic Surgery and Traumatology, Hospital Infantil Universitario Nino Jesus) ;
  • Rosa M. Egea-Gamez (Department of Pediatric Orthopedics and Department of Orthopedic Surgery and Traumatology, Hospital Infantil Universitario Nino Jesus) ;
  • Angel Palazon-Quevedo (Department of Pediatric Orthopedics and Department of Orthopedic Surgery and Traumatology, Hospital Infantil Universitario Nino Jesus) ;
  • Sergio Martinez-Alvarez (Department of Pediatric Orthopedics and Department of Orthopedic Surgery and Traumatology, Hospital Infantil Universitario Nino Jesus) ;
  • Olga M. Suarez Traba (Department of Diagnostic Imaging, Hospital Infantil Universitario Nino Jesus) ;
  • Marta Escribano Perez (Department of Diagnostic Imaging, Hospital Infantil Universitario Nino Jesus)
  • Received : 2022.07.22
  • Accepted : 2022.10.04
  • Published : 2023.09.01
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Abstract

A 13-year-old male was diagnosed with a glenoid fracture following direct shoulder trauma, for which surgical treatment was considered. After referral to a center for pediatric orthopedic care, physical examination, contralateral shoulder X-ray, and detailed computed tomography examination ruled out the presence of fracture; these findings were later confirmed by magnetic resonance imaging. Normal ossification patterns in the adolescent shoulder may simulate a fracture in traumatic settings. To accurately diagnose and manage pediatric shoulder pathology, orthopedic surgeons must be aware of the normal anatomy of the growing shoulder, its secondary ossification centers, and growth plates.

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References

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