• Title/Summary/Keyword: Glenoid fracture

Search Result 33, Processing Time 0.022 seconds

Shoulder Impingement Caused by Superiorly Displaced Glenoid Fracture Fragment at a Boy - A Case Report - (소아에서 생긴 견갑골 관절와 골절편의 상방 전위에 의한 견관절 충돌 운동 장애 - 증례 보고 -)

  • Jeong, Kyoung-Il;Park, Kyoung-Jin;Kim, Yong-Min;Kim, Dong-Soo;Choi, Eui-Sung;Shon, Hyun-Chul;Choi, Hun-Sik;Park, Gee-Kang
    • Clinics in Shoulder and Elbow
    • /
    • v.9 no.2
    • /
    • pp.231-234
    • /
    • 2006
  • We experienced a case of impingement caused by a bone fragment which was impacted between acromion and humeral head in a child. The bone fragment came from antero-inferior glenoid fracture. Satisfactory clinical results and stability were obtained by arthroscopic bone fragment removal. In case that bone fragment is located in the upper shoulder joint and results in impingement, We must consider not only greater tubercle fracture but also glenoid fracture. Magnetic resonance imaging can assist in the preoperative diagnosis.

Normal Glenoid Size of the Korean in 7th and 8th Decades (한국인 60~70대의 정상 견갑골 관절와의 크기)

  • Moon, Young-Lae;Ha, Sang-Ho;Noh, Kyung-Hwan
    • Clinics in Shoulder and Elbow
    • /
    • v.11 no.1
    • /
    • pp.37-40
    • /
    • 2008
  • Purpose: We wanted to evaluate the normal glenoid size of Koreans in their 7th and 8th decades by conducting Computed tomographic (CT) studies. Materials and Methods: The CT images were obtained from the normal scapulae of the patients (mean age: 68.8) who had humeral fracture. A display workstation version 2.0.73.315 was used to measure the scans to determine the maximal superoinferior (SI) and anteroposterior (AP) diameters of the glenoid vault. Results: The average diameters of curvature of the glenoid were 31.2 mm (range: 27 to 34 mm) in the superior-inferior direction and 26.1mm (range: 22 to 31mm) in the anterior-posterior direction. Conclusion: This study showed the normal glenoid size of Koreans and it is different from the size that the international literature reported. It should be an important factor for the treatment of fracture or in designing arthroplasty implants.

Arthroscopic Reduction and Internal Fixation with Cannulated Screw of a Transverse Glenoid Fracture (유경 나사를 이용한 견갑골 관절와 횡골절의 관절경적 정복 밑 내고정)

  • Noh Kyu Cheol;Yoo Jung Han;Kang Ki Man
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.2 no.2
    • /
    • pp.176-180
    • /
    • 2003
  • We describe in this report the accurate reduction of a transverse displaced glenoid fracture through arthroscopic control . We used the lateral and superior (Neviaser portal) portal of the arthroscopic surgery in the shoulder joint for the U 4.0-mm titanium cannulated cancellous screw fixation. The advantages of this treatment are excellent intra-articular visualiBation, decreased soft tissue dissection ,less blood loss, shortened postoperative recovery and early ROM exercise. There(ore, we report the method of operation and the cases .

  • PDF

Iliac Bone Graft for Recurrent Posterior Shoulder Instability with Glenoid Bone Defect

  • Ko, Sang-Hun;Cho, Yun-Jae
    • Clinics in Shoulder and Elbow
    • /
    • v.17 no.4
    • /
    • pp.190-193
    • /
    • 2014
  • Recurrent posterior shoulder instability is a debilitating condition that is relatively uncommon, but its diagnosis in young adults is increasing in frequency. Several predisposing factors for this condition have been identified, such as the presence of an abnormal joint surface orientation, an osteochondral fracture of the humeral head or glenoid cavity, and a postero-inferior capsuloligamentary deficit, but their relative importance remains poorly understood. Whilst, conservative treatment is effective in cases of hyperlaxity or in the absence of bone abnormality, failure of conservative treatment means that open or arthroscopic surgery is required. In general, soft-tissue reconstructions are carried out in cases of capsulolabral lesions in which bone anatomy is normal, whereas bone grafts have been required in cases where posterior bony Bankart lesions, glenoid defects, or posterior glenoid dysplasia are present. However, a consensus on the exact management of posterior shoulder instability is yet to be reached, and published studies are few with weak evidence. In our study, we report the reconstruction of the glenoid using iliac bone graft in a patient suffering recurrent posterior shoulder instability with severe glenoid bone defect.

Usefulness of Arthroscopy on Treatment of Double disruption of Superior Shoulder Suspensory Complex - Two cases including Fracture of Glenoid - (상부 견갑 현수 복합체의 이중 분리의 치료에 있어 관절경의 유용성 - 관절와 골절을 동반한 2례 보고 -)

  • Kim Bo-Hyun;Kang Shin-Taek;Park Ill-Seok;Byun Jae-Yong
    • Clinics in Shoulder and Elbow
    • /
    • v.8 no.2
    • /
    • pp.158-165
    • /
    • 2005
  • The Superior Shoulder Suspensory complex (SSSC) maintains a normal stable relationship between the upper extremity and the axial skeleton. Traumatic double disruptions of the SSSC frequently create an unstable anatomic situation and is difficult-to-treat. When this double disruption is managed conservatively, significant displacement can occur at either or both sites and result in long-term problems and functional disabilities. Therefore surgical management is generally necessary. The authors experienced two cases of double disruptions of the SSSC treated with arthroscopic surgery & and reported good results.

Open Reduction and Internal Fixation of Displaced Intra-Articular Fractures of the Glenoid (전위된 견갑골 관절내 골절의 관혈적 정복 및 내고정술)

  • Kim Seung Key;Park Jong Beom;Choi Woo-Sung;Kwon Young-Jeong;Chang Han
    • Clinics in Shoulder and Elbow
    • /
    • v.1 no.2
    • /
    • pp.230-235
    • /
    • 1998
  • Fractures of the scapula are relatively uncommon injuries and treatment in the vast majority of cases remains nonsurgical and the results have been quite satisfactory. But the scapular fracture itself may be neglected because of its high incidence of many kinds of associated injuries so its delayed treatment sometimes gives bad and unpredictable results. Although open reduction and internal fixation has been accepted as the treatment of choice for displaced intra-articular fractures in many anatomical regions, there has been no definite treatment principles of surgical indications and approaches in the glenohumeral joint. At our institution, II displaced intra-articular fractures of the glenohumeral joint were treated with open reduction and internal fixation from March 1993 to February 1997. This paper reports the results of treating 11 displaced intra­articular fractures of the glenoid by open reduction and internal fixation. There were 10 men and one woman and the fractures were classified according to Ideberg : Type Ⅰa(4), Type Ⅱ(3), Type Ⅲ(1), Type IV(1), Type Va(1), and Type Vc(1).

  • PDF

Concomitant Coracoid Process Fracture with Bony Bankart Lesion Treated with the Latarjet Procedure

  • Min, Seung Gi;Kim, Dong Hyun;Lee, Ho Seok;Lee, Hyun Joo;Park, Kyeong Hyeon;Yoon, Jong Pil
    • Clinics in Shoulder and Elbow
    • /
    • v.23 no.1
    • /
    • pp.31-36
    • /
    • 2020
  • Bony lesions of the glenoid and Hill-Sachs lesions are the most common injuries after a first-time traumatic shoulder dislocation. However, fracture of the coracoid process after traumatic shoulder dislocation is rare. A single, open surgical procedure could be performed by a Latarjet procedure using a fractured fragment of the coracoid process. If a fracture of the coracoid process is associated with a traumatic anterior shoulder dislocation, the Latarjet procedure may be the most appropriate surgical option.

Reduction of superior-lateral intact mandibular condyle dislocation with bone traction hook

  • Kim, Bong Chul;Samayoa, Sara Rebeca Kang;Kim, Hyung Jun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.39 no.5
    • /
    • pp.238-241
    • /
    • 2013
  • Lateral and superior-lateral dislocations of the intact condyle are a rare complication, following traumatic insult to the mandible. We report an unusual case of a 54-year-old male patient who experienced both types of dislocations of the intact condyles with symphysis fracture following a road-traffic accident. Under general anesthesia, conventional manipulation was unsuccessful in relocating the condyles into the glenoid fossa. After applying a percutaneous traction force, using a bone traction hook placed at the sigmoid notch, the displaced intact mandibular condyles were repositioned, and the symphyseal fracture was finally reduced and fixed. The mouth opening was within normal limits, and favorable occlusion was confirmed one month postoperatively. To our knowledge, this is the first case of dislocation of both intact condyles--associated with symphysis fracture--being reduced with bone traction hook.