Outcomes after operative management of displaced intra-articular glenoid fractures [presentation] Presentation uri icon
  • Operative treatment is indicated for displaced fractures of the glenoid fossa, based on articular incongruity and joint instability. However, little is known regarding functional outcomes in these patients. The purpose of this study is to assess surgical and functional results after treatment of displaced, intra-articular glenoid fractures. Thirty patients with displaced intra-articular fracture of the glenoid were treated surgically between 2002 and 2008. Fractures were classified according to the modified Ideberg and revised OTA classification systems. Indication for operative treatment included articular step-off e4 mm. Twenty-one patients had extra-articular scapula involvement as well. A posterior approach was utilized in 19 patients, an anterior approach in 7, and combined in 4. Functional outcomes, including DASH and SF-36 scores, range-of-motion, strength, shoulder pain, and return to work/activities were obtained on 24 patients (80%). At mean follow-up of 24 months (range=7-73), all patients had complete radiographic union of their fracture. Mean DASH score at follow-up was 12 (range=0-42). For all parameters, mean SF-36 scores were comparable to those of the normal population. Twenty patients were pain-free at follow-up and 4 complained of mild pain with prolonged activity. Twentyone returned to their pre-injury work/activities. Complications included intra-articular screw placement in 1, surgically corrected on POD #2, stiffness in 1, requiring manipulation under anesthesia at 6 weeks, and removal of ectopic bone in 1. Our data suggest that surgery for displaced intra-articular glenoid fractures with or without involvement of the scapula neck and body can be associated with good functional results and low complication rate.

  • participant
  • Anavian, J. A.   Presenter  
  • Cole, Peter A., MD   Presenter  
  • Schroder, L. K.   Presenter  
  • Wijdicks, C. A.   Presenter  
  • Research
  • Fractures
  • Orthopedics
  • Shoulder
  • Surgery