Scapula Body and Glenoid Fossa Fractures

Overview:

Scapular fractures are rare and usually result from high-energy trauma. While most can be managed without surgery, certain fractures require surgical fixation to ensure proper healing and function.

What are Scapula and Glenoid Fossa Fractures?

• Scapula:'The shoulder blade, a flat bone connecting the upper arm to the collarbone.
• Glenoid Fossa:'The part of the scapula that forms the socket for the shoulder joint.

Causes of Scapula and Glenoid Fossa Fractures:

• High-Energy Trauma:'Car accidents, motorcycle crashes, or falls from height.
• Direct Impact:'A heavy blow to the shoulder.

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Symptoms:

• Pain:'Severe pain in the shoulder.
• Swelling and Bruising:'Visible swelling and bruising around the shoulder.
• Limited Movement:'Difficulty moving the arm.

Diagnosing Scapula and Glenoid Fossa Fractures:

• Physical Examination:'Checking for pain, swelling, and deformity.
• Imaging:
  • X-rays:'Standard views to see the fracture.
  • CT Scans:'For detailed images, especially for surgical planning.

Types of Fractures:

• Euler and Habermeyer Classification:'Categorizes fractures based on their location and severity.

 

• Ideberg Classification:'Focuses on glenoid fractures with various extensions.

   

Treatment Options:

1. Non-Surgical Management:
   • Suitable for most minimally displaced fractures.
   • Supportive Sling:'To immobilize the arm.
   • Gradual Exercises:'To restore movement and strength over 4-6 weeks.
2. Surgical Management:
   • Needed for significantly displaced or unstable fractures.
   • Surgical Techniques:'Various approaches to realign and fix the bones using plates and screws.

Possible Complications:

• Infection:'Risk after surgery.
• Implant Issues:'Problems with surgical hardware.
• Non-Union:'Bone fails to heal.
• Malunion:'Bone heals incorrectly.

Lessons Learned:

• Thorough assessment and imaging are crucial.
• Non-surgical treatment works for most minimally displaced fractures.
• Surgery is necessary for significantly displaced or unstable fractures.
• Post-operative rehabilitation and regular follow-up are essential for optimal outcomes.

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