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ORIGINAL ARTICLE
Year : 2014  |  Volume : 48  |  Issue : 1  |  Page : 14-19

Glenoid fossa fractures: Outcome of operative and nonoperative treatment


1 Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Orthopaedics, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
3 Department of Orthopaedics, Government Medical College and Hospital, Sector 32, Chandigarh, India

Correspondence Address:
Vikas Bachhal
Department of Orthopaedics, Government Medical College and Hospital Sector 32, Chandigarh - 160 030
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.125480

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Background: Glenoid fossa fractures are rare injuries having a prevalence of 0.1%. These fractures may be managed operatively if substantially displaced. However, several fractures of glenoid fossa are managed nonoperatively, even if displaced, due to high incidence of associated injuries which may render patient unfi t to undergo major orthopaedic surgery. There is a relative paucity of articles reporting on outcome of treatment of glenoid fossa fractures. We present our experience of treating these injuries over past decade with operative and nonoperative methods. Materials and Methods: 21 patients of glenoid fossa fractures were included in this series with 14 males and 7 females. Patients with displacement of >5 mm who were fi t to undergo surgery within 3 weeks of injury were operated using a posterior Judet's approach. Overall 8 patients with displaced fractures were operated (Group A) while 9 patients with displaced fractures (Group B) and 4 patients with undisplaced fractures (Group C) were managed nonoperatively. Results: The mean age and followup period in this series was 29 years and 7.3 years respectively. In group A, average constant score was 87.25. The least constant score was observed for group B (58.55) while group C had an average constant score of 86. Brachial plexus injury and fracture-dislocations had poorer outcome. Conclusion: Operative treatment for displaced glenoid fractures is a viable option at centers equipped to handle critically ill patients and subset of patients with fracture-dislocation as opposed to fracture alone should always be treated operatively due to persistent loss of function.


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