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Clin Shoulder Elbow > Volume 10(2); 2007 > Article
Journal of the Korean Shoulder and Elbow Society 2007;10(2):212-219.
DOI: https://doi.org/10.5397/CiSE.2007.10.2.212    Published online December 31, 2007.
The Operative Treatment of Scapular Glenoid Fracture
Ho Jung Kang, Sung Hoon Jung, Min Jung, Soo Bong Hahn, Sung Jae Kim, Jong Min Kim
1Department of Orthopaedic Surgery, Yonsei University College Medicine, Seoul, Korea.
2Department of Orthopaedic Surgery, Kwangmyung Sung-Ae General hospital, Kwangmyung, Korea. doctors@hanmail.net
견갑골 관절와 골절의 수술적 치료
강호정·정성훈·정민·한수봉·김성재·김종민*
연세대학교 의과대학 정형외과학 교실, 광명성애병원 정형외과*
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.
Key Words: Scapula; Glenoid fracture; Open reduction


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