Scapular fracture - Ideberg type II

Case contributed by Dr Domenico Nicoletti

Patient Data

Age: 50 years
Gender: Male

Rx right shoulder

Intra-articular displaced glenoid fracture with scapular body extension.

CT right shoulder

Intra-articular displaced glenoid fracture extending to the lateral margin of the scapula.

Rx right shoulder

Osteosynthesis of intra-articular fracture of glenoid and scapular body with locking plate and screw with anatomic reduction and stable fixation of the glenoid fracture.

Case Discussion

Often scapular fractures are missed or overlooked in traumatic events. CT is the gold standard for diagnosis for any suspected glenoid fractures. Extra-articular scapular fractures are often not treated surgically while internal fixation is required for displaced intra-articular fractures of the glenoid particularly when the step off is greater than 5 mm for risk of post-traumatic osteoarthritis. Osteosynthesis aims to reduce and fix the fracture with restoration of the joint surface.

Radiographer: TSRM Fabio Imola.

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