glenoid fracture

I had a 300 lb compressed gas cylinder begin to fall I grabbed it and it placed a huge amount of traction on my right shoulder. I have had a MRI and shows glenoid fracture. Is this consistent with a traction injury to the shoulder?

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Aug 23, 2008
Depends on the type of fracture...
by: Bart - SII

Gleniod fractures are not common - however, a traction event like you describe could be consistent with an avulsion type of fracture of the glenoid - where the shoulder ligaments instead of pulling away from the bone actually fracture the bone and remain attached.

Did your MRI describe the type of fracture?

Bart

Sep 08, 2008
Reply
by: Jason

Bart,

My MRI results will be available Wednesday Sept. 10th I will write back and let you know the results. I am experiencing an unstable shoulder and pain when placing pressure on my arm IE.. reaching behind and pulling forward. I hear some popping sounds and some grinding. And weakness. From brief conversation with nurse she led me to believe the injury was to the soft tissue but called it a gleniod fracture.

Sep 11, 2008
MRI Results
by: Anonymous

Osteochondral lesion of the posterior glenoid rim with associated labral tear. The junction of the glenoid with the remainder of the scapula shows abnormal morphology but no marrow edema. Acromioclavicular joint arthopathy is flattening the coracoacromial arch and impressing on the myotendinous junction of the supraspinatus. Infraspinatus tendinopathy or strain. Labrum appears abnormal on the inferior and posterior aspect. Small erosions on the posterolateral humeral head. Shape of the lateral acromion is narrowing the supraspinatus tendon outlet. Acromioclavicular joint is inflamed and enlarged and the joint capsule is impressing on the myotendinous junction of the supraspinatus. Alright then please feel free to put in terms that a non medical person can grasp please!!! I certainly appreciate your help.

Sep 11, 2008
Translation
by: Bart - SII

Osteochondral lesion of the posterior glenoid rim with associated labral tear. The junction of the glenoid with the remainder of the scapula shows abnormal morphology but no marrow edema.

-This basically says that where the labrum (soft tissue) meets the glenoid (bone) there is an area of damage at the cartilage/bone interface - much like I described above where the labrum pulled part of the bone away instead of tearing off. There is no swelling in the bone, which is a good thing.

Acromioclavicular joint arthopathy is flattening the coracoacromial arch and impressing on the myotendinous junction of the supraspinatus. Infraspinatus tendinopathy or strain.

-The AC joint is causing impingement of the supraspinatus and infraspinatus (rotator cuff)

Labrum appears abnormal on the inferior and posterior aspect. Small erosions on the posterolateral humeral head. Shape of the lateral acromion is narrowing the supraspinatus tendon outlet. Acromioclavicular joint is inflamed and enlarged and the joint capsule is impressing on the myotendinous junction of the supraspinatus.

-basically you have a labral tear with some pathology where the cartilage and the bone interface, as well as suffering from shoulder impingement syndrome.

What treatment options has your physician given you?

Sep 11, 2008
Shoulder Injury
by: Jason

Bart,

This is a workmans comp lawsuit currently have not been given any treatment options. Have been living with this since April. Making life kind of difficult. What do you think they might want to do? I have been an athletic type my whole life currently can't throw a ball or workout at all with right arm. Have court date on the 24th hopefully they will authorize treatment then. Insurance company has paid for me to see 4 doctors and have a MRI. No word on treatment plan though. Thank you for the good info I appreciate it very much.

Jason

Sep 11, 2008
Arthroscopy
by: Bart - SII

My guess is an arthroscopic evaluation to start with - that lets them get in there and look around and actually see the damage first hand. Then, depending on what they find, most likely a subacromial decompression, and possibly a labral repair / rotator cuff repair depending on the findings at arthroscopy.

That of course would be followed by physical therapy for 4-6 weeks minimum I would guess.

Bart

Sep 11, 2008
Thanks
by: Jason

Bart,

Thank you for your translation, I will write as soon as I know what they intend on doing. I really appreciate your time and knowledge. I wish there were more sites like this on a wide variety of topics. Again, thank you very much.

Jason

Nov 24, 2008
Surgery
by: Jason

Bart,

Finally won the lawsuit, Surgery for torn labrum is Wednesday. Hopefully all works out well. Again I thank you for your knowledge and willingness to help define all the med jargon.

Dec 18, 2008
Surgery Results
by: Jason

Had surgery Wednesday the 17th, found torn superior and posterior labrum. Also torn bicept tendon and bone spur. After block wore off it was very painful. Surgery took about an hour and a half. Just trting to stay on top of pain meds and a long recovery.

Dec 22, 2008
good luck
by: Bart - SII

Good luck with the recovery. I know this has been a really long process, and even though you have some more to go, you are hopefully almost there!

Enjoy the holidays as much as you can.

Bart

Feb 26, 2009
Please explain so I can understand
by: Bill G.

I have been diagnosed with Full thickness, near complete tear of the suprasinatus tendon, Infraspinatus tendinopathy and enthesopathy, approximately 1.5cm retraction of the myotendinous junction, superior sublaxation of the humeral head , increased signnal at the distal infraspinatus tendon near its insertion consistent with tendinopathy, abnormal bone marrow signal at the greater tuberosity near the insertion of the infraspinatus tendon

I recently was told they found multiple bone infarctions in my left leg. No aggressive treatment was done to figure out why. Now I see my shoulder has bone marrow abnormality. Shouuld this now be taken serious and more testing need to be done. All previous information was for my right shoulder.

In addition my left shoulder has abnormal bone marrow signal in the superior aspect of the humeral head of unknown clinical significance.



Please explain in layman's term so I may understand.

May 13, 2010
Slap tear(or whatever the other doc wants to name it)
by: Anonymous

It may be too late to add, but I just had a labrum repair 2 weeks ago. I work in a rural emergency dept. and had a LARGE man lifted into a private LARGE truck by CALFIRE and sent on their merry way with him having a very nice CVA (stroke/brain bleed). They arrived without the helpful firemen to my ER driveway and his wife told admitting he needed "assistance" getting out of the truck. I came out with a wheelchair and his legs buckled immiediately. I braced with my knees, however I am 135 he was 250plus and to prevent us both going down- yanked the back of his sweat pants so hard and stuck his ass in the wheelchair. It was a year ago mother's day. Had my surgery almost a year later going through all the work comp BS and job care saying "we'll give you PT" without even an xray for 10 months. Then had 1st MRI & then another with contrast. All along having to beg my work not to make me push patients on gurneys and trying to convince them my pain was real. Guess what? The MRI didn't show have the damage once they were in. Maybe b/c work still had me do shit I shouldn't or maybe MRI cannot detect all the damage. Also had a fx of the glenoid which was significant and a big bone spur of osteoarthritis that developed from no action for 11 months. Do not let your work pass it off as muscle pain!!! Get an MRI if it does not go away!! Be pro active in your physical well being!!
P.S. He tried to code on me when we got him into bed but we stablized him, flew him to a neuro surgeon, he made it, and his wife gave us chocolates 2 weeks later. But-- if they can't stand-- call 911--superman is not waiting at the emergency room to carry them in. Health care workers are the most injured employees. Please be considrate to our backs and shoulders:)

Jun 08, 2011
glenoid fracture
by: marko

i fell on my right shoulder and after more than a month the doc agreed to an mri. it showed a fracture of the glenoid. he said that it will heal on its own and that surgery would be too invasive. i still experience a lot of pain but am keeping on with pt. any sugestions???
















































































































































































































































































































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