Clin Should Elbow.  2017 Sep;20(3):162-166. 10.5397/cise.2017.20.3.162.

Displaced Scapula Fracture (Ideberg Type IIb) Combined with a Large Rotator Cuff Tear in Anterior Shoulder Dislocation: A Case Report

• Noh YM
• Kim CH
• Lee SH
• Im CS

• KMID: 2394616
• DOI: http://doi.org/10.5397/cise.2017.20.3.162

Abstract

Traumatic anterior shoulder dislocation combined with scapular fracture in elderly patients is relatively rare. In this case, a patient visited Emergency Room of Dong-A University Hospital for shoulder pain after falling off a ladder. Radiographs demonstrated anterior shoulder dislocation with displaced Ideberg type IIb scapula (glenoid fossa) fracture combined with a large rotator cuff tear on magnetic resonance imaging. We performed arthroscopic rotator cuff repair, but a large fragment in the inferior glenoid was left untreated. At the 1 year follow-up visit, the pain visual analogue scale of the patient was 2, the American Shoulder and Elbow Society score was 88 and the patient had gained nearly full range of motion without any apprehension.

Keyword

Scapula fracture; Shoulder fracture dislocation; Ideberg classification; Glenoid fossa

MeSH Terms

Accidental Falls
Aged
Elbow
Emergency Service, Hospital
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Range of Motion, Articular
Rotator Cuff*
Scapula*
Shoulder Dislocation*
Shoulder Pain
Shoulder*
Tears*