Isolated Displaced Glenoid Fracture Caused by Minor Trauma: a Case Report

Yıl 2024, , 161 - 164, 01.01.2024

Nafis Vural

https://doi.org/10.53394/akd.1087259

Öz

The glenoid is a shallow structure in the shoulder joint, facing the humeral head and located lateral to the scapula. Glenoid fossa intra-articular fractures account for only 1% of scapular fractures and are associated with high-energy trauma. An 84-year-old female patient admitted to the emergency department with the complaint of pain in her left arm and inability to move her arm as a result of falling over her shoulder from her own level. On the shoulder radiograph of the patient, a suspicious area that could be a fracture in the glenoid rim was observed. CT revealed a displaced fracture line starting from the glenoid rim and extending to the medial wall of the scapula. Velpau bandage was applied to the patient. Elderly female patients should be carefully examined and necessary imaging should be performed, even if they are exposed to a low-energy trauma to the shoulder girdle (such as falling from one's own level). Computed tomography, which is one of the advanced imaging methods, should be applied when a suspicious image of a glenoid fracture is found on the radiography.

Anahtar Kelimeler

scapular fracture, isolated glenoid fracture, emergency department, minor trauma

Destekleyen Kurum

None

Proje Numarası

None

Minör Travmanın Neden Olduğu İzole Deplase Glenoid Fraktürü: Bir Olgu Sunumu

Öz

Glenoid, omuz ekleminde humerus başına bakan ve skapulanın lateralinde yer alan sığ bir yapıdır. Glenoid fossa eklem içi kırıkları, skapular kırıkların sadece %1'ini oluşturur ve yüksek enerjili travma ile ilişkilidir. 84 yaşında kadın hasta, kendi seviyesinden omzunun üzerine düşmesi sonucu sol kolunda ağrı ve kolunu hareket ettirememe şikayeti ile acil servise başvurdu. Hastanın omuz grafisinde glenoid rimde kırık olabilecek şüpheli bir alan izlendi. BT'de glenoid kenardan başlayan ve skapula medial duvarına uzanan deplase bir kırık hattı izlendi. Hastaya Velpau bandaj uygulandı. Yaşlı kadın hastalar, omuz kuşağına düşük enerjili bir travmaya (kendi seviyesinden düşme gibi) maruz kalsalar dahi dikkatle muayene edilmeli ve gerekli görüntüleme yapılmalıdır. Gelişmiş görüntüleme yöntemlerinden biri olan bilgisayarlı tomografi, radyografide şüpheli glenoid kırığı görüntüsü bulunduğunda uygulanmalıdır.

Anahtar Kelimeler

skapula fraktürü, izole glenoid fraktürü, acil servis, minör travma

Proje Numarası

None

Kaynakça

• Bandovic I, Futterman B. Anatomy, Bone Markings. StatPearls [Internet]. 2019 [cited 2021 Dec 15]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/30020631
• Van Oostveen DPH, Temmerman OPP, Burger BJ, Van Noort A, Robinson M. Glenoid fractures : A review of pathology, classification, treatment and results. Acta Orthopaedica Belgica. 2014.
• Gilbert F, Eden L, Meffert R, Konietschke F, Lotz J, Bauer L, et al. Intra- and interobserver reliability of glenoid fracture classifications by Ideberg, Euler and AO. BMC Musculoskelet Disord [Internet]. 2018 Mar 27 [cited 2021 Dec 16];19(1). Available from: /pmc/articles/PMC5870213/
• Surace PA, Boyd AJ, Vallier HA. Case Series Evaluating the Operative and Nonoperative Treatment of Scapular Fractures. Am J Orthop (Belle Mead NJ) [Internet]. 2018 Aug 1 [cited 2021 Dec 16];47(8). Available from: https://pubmed.ncbi.nlm.nih.gov/30180219/
• Wiedemann E. Frakturen der skapula. Unfallchirurg [Internet]. 2004 Dec [cited 2021 Dec 19];107(12):1124–33. Available from: https://link.springer.com/article/10.1007/s00113-004-0892-x
• Frich LH, Larsen MS. How to deal with a glenoid fracture. EFORT Open Rev [Internet]. 2017 May 1 [cited 2021 Dec 19];2(5):151. Available from: /pmc/articles/PMC5467683/
• Ideberg R, Grevsten S, Larsson S. Epidemiology of scapular fractures Incidence and classification of 338 fractures. https://doi.org/103109/17453679508995571 [Internet]. 2009 [cited 2021 Dec 18];66(5):395–7. Available from: https://www.tandfonline.com/doi/abs/10.3109/17453679508995571
• Augat P, Weyand D, Panzer S, Klier T. Osteoporosis prevalence and fracture characteristics in elderly female patients with fractures. Arch Orthop Trauma Surg [Internet]. 2010 Nov [cited 2021 Dec 18];130(11):1405–10. Available from: https://pubmed.ncbi.nlm.nih.gov/20585792/