Surgical versus co
Surgical versus conservative treatment of intra-articular glenoid fractures
Hesham Hamed Refae
Department of Orthopedics, South Valley University Hospital Qena, Egypt
Corresponding Author: Hesham Hamed Refae, MD Ass. Professor of Orthopedics Surgery.
Address: Aswan 84111 P.O. 33, Egypt. Or Department of Orthopedics, South Valley University Hospital Qena, Egypt
Fax: 002 0965345727- Mob: 00201001200154; Email: [email protected]
Abstract: Background: Between 1994 and 2006, twenty two patients with intra-articular glenoid fractures were treated (17 surgically and 5 conservative) and prospectively followed for a minimum of 2 years. Patients and Methods: The mean age of patients was 30.4 years and clinical results were evaluated using the Denis scale in 20 available (2 patients from operative group lost their follow-up) patients after a minimum follow-up of 24 months. Results: According to Denis scale of pain and work status, 14 patients (93.3%) of the surgical group reported no or minimal pain, while 1 (6.7%) has moderate pain with occasional medication. In the conservative group, only 1 patient (20%) had no pain, 1 patient (20%) had moderate pain, and 3 (60%)reported severe pain with frequent medication. Normal range of motion was regained in all surgically treated patients within 3 months postoperatively and within 6 months in 2 (40%) out of the conservative group, while limitation of movement was observed in 3 (60%) of the conservative group. Conclusion: Surgical treatment of displaced intraarticular glenoid fractures usually results in far much better clinical and radiological outcome than conservative management.
[Hesham Hamed Refae. Surgical versus conservative treatment of intra-articular glenoid fractures. J Am Sci 2013;9(3):293-296]. (ISSN: 1545-1003). http://www.jofamericanscience.org. 40
Keyword: Glenoid fractures, Scapular Fractures, Shoulder. Full Text 40
