Diagnosis and treatment of glenoid fractures Progress.docVIP

 PAGE \* MERGEFORMAT 12 Diagnosis and treatment of glenoid fractures Progress Author: David Chen Hongjun Yi Bi 100 million people Keywords: glenoid fracture Glenoid injury often from high-energy caused by blunt impact, fractures account for about 0.1% of body fractures, accounting for 10% of scapular fractures [1], due to more complex accompanied by more serious injury, are often delayed diagnosis of glenoid fractures to make treatment more complex and difficult. Scapular fractures not handled properly can lead to shoulder and upper limb dysfunction. Glenoid fracture is currently no uniform treatment of views and methods, are now on their classification, treatment, progress, etc. are reviewed. Anatomy of a glenoid and the surrounding Glenoid where the scapula is an irregular triangular flat bone, slightly concave in front, sub-surface 3 2 edge on the back was divided into scapular supraspinatus fossa and the Gang fossa, where bone is thin and can not be placed within the implant . Lateral margin of scapula is relatively thick, thin bone on the edge of a short but coracoid process strengthened, and that three ridge known as the “three pillar” [2], the medial edge, lateral margin and the scapular spine is placed within the implant an important part. Scapular neck stenosis, bone weakness, easy to fracture, its stability depend on the integrity of the three columns, simple conservative treatment could easily lead to fracture malunion. Normal adults glenoid about 3 / 4 of a 7 ° (2 ° ~ 12 °) post-dip, about 1 / 4 of a 2 ° ~ 4 ° of anteversion. If there is malunion of more than the physiological range, can cause instability or dislocation of the glenohumeral joint [3]. Scapula is the shoulder sling complex (SSSC) as part of the upper limbs through the clavicle is connected with the axial skeleton, start, or attached to the scapula of the 18 muscles, for the glenohumeral joint activities to provide a stable base [4]. The front o