Glenoid Fractures
Causes, Symptoms, Types, Treatment Options, and Rehabilitation
Glenoid fractures are injuries that involve the shallow, socket-like portion of the scapula (shoulder blade), known as the glenoid cavity. These fractures are typically caused by significant trauma, such as shoulder dislocations or high-energy injuries. Symptoms of glenoid fractures may include:
- Shoulder pain: Intense pain in the shoulder area, particularly during movement.
- Swelling and bruising: Swelling and bruising around the shoulder joint due to soft tissue damage.
- Limited range of motion: Difficulty moving the shoulder due to instability and pain caused by the fracture.
- Arm weakness: Weakness in the arm due to impaired shoulder function.
Treatment options
The treatment approach for glenoid fractures depends on the fracture type and degree of displacement:
Non-surgical treatment: Non-displaced or minimally displaced glenoid fractures may be managed without surgery. The treatment typically involves immobilising the shoulder with a shoulder sling. Regular surveillance with X-rays is necessary to ensure the fracture remains in an acceptable position for healing.
Surgical treatment: Displaced or more complex glenoid fractures may require surgical intervention to realign the fractured bone fragments and stabilise the joint. Surgical options may include:
- Keyhole surgical repair: Also known as arthroscopic surgery, this minimally invasive approach uses small incisions and specialised instruments to repair the fracture.
- Screw fixation: In this procedure, screws are used to hold the fractured bone fragments together and promote proper healing.
Glenoid fracture care with Dr Oscar Brumby-Rendell
Glenoid fractures are significant injuries that can result from shoulder dislocations or high-energy impacts. The severity and displacement of the fracture dictate the treatment approach. Non-surgical options are typically considered for less severe cases, with the use of a shoulder sling and regular surveillance with X-rays to monitor the fracture's position. Surgical intervention may be necessary for more complex or displaced fractures, with options including keyhole surgical repair or screw fixation.
It is essential for individuals to seek prompt medical attention to assess the extent of the injury and determine the most appropriate treatment plan. With proper care and treatment, most patients can expect favourable outcomes and a return to optimal shoulder functionality after glenoid fractures. Regular follow-up appointments and adherence to Dr Oscar Brumby-Rendell’s treatment plan are crucial to ensure successful healing and recovery.
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