Abstract
We report two cases of glenoid fracture that were treated surgically.
Case 1: A 48-year-old man fell and injured his left shoulder. Radiological examination revealed a glenoid fracture with acromioclavicular dislocation, which was classified as type III by Ideberg classification, and multiple rib fractures with pulmonary contusion. Open reduction and internal fixation assisted by arthroscopy were performed and rehabilitation was started at two weeks postoperatively. Assisted shoulder motion was permitted after three weeks, and active shoulder motion was allowed at four weeks. The patient returned to his job three months after surgery. At 19 months after surgery, he was pain-free and his active flextion motion was 160 degrees. His Japan Orthopaedic Association (JOA) score was 100 points.
Case 2: A 59-year-old man injured his left shoulder in a traffic accident. Radiological examination revealed a glenoid fracture, which was classified as type V by Ideberg classification. Open reduction and internal fixation were performed and rehabilitation was started two weeks postoperatively. Assisted shoulder motion was permitted at three weeks, and active shoulder motion was allowed at four weeks. The patient returned to his job four months after surgery. At seven months after surgery, he was pain-free and active flexion was 130 degrees. His JOA score was 89 points.
