Patient Data
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.