Surgical Approaches for Glenoid Fractures

Abstract

Glenoid fractures are rare injuries and most can be managed non-operatively. However, significant displacement of fractures of the glenoid neck and cavity is an indication for open reduction and internal fixation to achieve optimal upper extremity function. While anterior rim and some superior fossa fractures are approached anteriorly, most glenoid neck and cavity fractures require a posterior exposure, which is unfamiliar to many surgeons. A satisfactory reduction, adequate fixation, and a well-designed rehabilitation program help to ensure a good outcome for patients with these complex injuries.