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Open Access Publications from the University of California

Case of Displaced Glenoid Fracture After Fall: Subtle Findings with Significant Implications for Trauma Patients

  • Author(s): Sebt, Solomon
  • Barden, Mathias
  • Leroux, Eric
  • et al.
Creative Commons 'BY' version 4.0 license

Case Presentation: A 64-year-old man presented to the emergency department with a chief complaint of left shoulder pain after a mechanical fall from standing. Plain radiography revealed a displaced fracture of the inferior glenoid rim. A computed tomography further characterized the fracture and the patient was taken emergently by an orthopedic surgeon for open reduction and internal fixation.

Discussion: Scapula fractures, especially isolated glenoid rim fractures, are rare and most typical of high-energy mechanism traumas. A missed or delayed diagnosis can result in long-term suffering and disability. Awareness of radiographic as well as physical findings and the subsequent classification system described below can optimize outcomes for trauma patients with glenoid fractures.

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