How to deal with a glenoid fracture

[摘要] Glenoid fractures are rare1 and relatively little is known about their mechanism, fracture pattern and optimal treatment strategies. Fractures that involve the glenoid fossa may occur as a result of dislocation and, when present, bony avulsions and rim fractures are strongly associated with anterior shoulder dislocations.2,3 More classical fractures of the glenoid can be extra- or intraarticular and the degree of displacement is pivotal in the decision on operative or non-operative treatment. This is reflected in fracture classification systems that have been designed mainly based on location and severity of fracture pattern. If untreated, displaced glenoid fractures may lead to persistent pain, mal-union, development of early glenohumeral (GH) osteoarthritis and chronic shoulder instability. It is therefore of utmost importance to properly diagnose, analyse and treat these fractures.

[学科分类] 神经科学

[关键词] glenoid;fossa fracture;neck fracture;instability;3D CT reformations;classification