Scapula Fracture Classifications

08/11/13
Scapula Fracture Classifications

1. 2. 3. 4. 5. 6. 7. Scapula fractures: Euler and Redi classification Scapula fractures: DeCloux and Lemerle classification Scapula fractures: OTA Classification Glenoid fractures: Ideberg classification Glenoid fractures: Mayo classification Glenoid cavity fractures: Goss classsification Traumatic shoulder girdle / shoulder suspensory complex disruption : Goss
Scapular fractures: Euler and Redi classification In: Schulterchirurgie.Edited by Habermeyer P, 261-272 ,1996 fractures of the body of scapula isolated or multifragmentary B. fractures of the process B1 spine B2 coracoid B3 acromion fractures of scapular neck C 1 anatomical neck C 2 surgical neck C 3 surgical neck with a. fracture clavicle and acromion b. torn C C and C A ligaments D. Articular fractures D1 glenoid rim D2 glenoid fossa with a. inferior glenoid fragment b. horizontal split of scapula c. coracoglenoid block formation d. comminuted fractures D3 scapula neck and body fracture E. fracture combination with humeral head fractures Top Scapular fractures: DeCloux and Lemerle classification DeC loux MP, Lemerle, Omoplate. Lille C hir: 215-227, 1956 Type 1: Type 2: Type 3: Top OTA Scapula fracture Classification System Orthopedic Trauma Association Scapula body fractures Apophyseal fractures ( coracoid, acromion) fractures through the supero-lateral angle of scapula
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Top Glenoid fractures: Ideberg Classification Ideberg R et al, Acta Orthop Scand, 66:395-397,1995 Based on 100 glenoid fractures reviewed over a 10-year period, and its merit lies largely in the epidemiologic context in which it was written. Type I: Avulsion fracture of the anterior margin. Type II Type IIA: Transverse fracture through the glenoid fossa exiting inferiorly. Type IIB: Oblique fracture through the glenoid fossa exiting inferiorly. Type III: Oblique fracture through the glenoid exiting superiorly; often associated with an acromioclavicular joint injury. Type IV: Transverse fracture exiting through the medial border of the scapula. Type V: C ombination of a Type II and Type IV pattern. Type VI: Severe continuation of glenoid surface (GOSS).
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Ideberg R. fractures of the scapula involving the glenoid fossa. (From Batemans JE, Welsh RP (eds): In The surgery of the shoulder. Philadelphia, Decker 1984:6366.) Top Glenoid fractures: Mayo classification Mayo modification of the Ideberg classification Mayo KA, Benirschke SK, Mast JW: Displaced fractures of the glenoid fossa: Results of open reduction and internal fixation. C ORR 347:122130, 1998 Modification of the Ideberg classification based on 27 fractures treated surgically, as a more practical guide to fixation. Type 1: anterior glenoid rim fracture 1A: fracture fragment 5mm or less 1B: fracture fragment > 5mm
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Type 2: inferior glenoid fracture involving part of the neck
Type 3: superior glenoid fracture extending through base of coracoid
Type 4: Horizontal fracture involving scapular neck and body fracture runs below the spine of scapula
Type 5: Type 4 fracture with complete or incomplete

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neck fracture
Top Glenoid cavity fractures: Goss classsification Goss TP, J Am Acad Orthop Surg, 3:22-33, 1995 A variation on Ideberg classification, with more subdivisions for improved discussion of operative management of these injuries. Type 1: Glenoid rim fractures A- anterior rim B- Posterior rim
Type 2: Glenoid fracture exits at lateral border of scapula
Type 3: Glenoid fracture exits at superior border of scapula
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Type 4: Glenoid fracture exits at medial border of scapula
Type 5: C ombination fractures A- Types 2 & 4 B- Types 3 & 4 C - Types 2,3 & 4 D- comminuted
Top Types of traumatic shoulder girdle / shoulder suspensory complex disruption : Goss Goss TP, J Am Acad Orthop Surg, 3:22-33, 1995 Single disruptions Type A: single disruption by a break Type B: single disruption by ligament disruption Double disruptions
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Type Type Type Type Type
C : double ligament disruption D: double break E: combined bone and ligament disruption F: both struts disrupted G: one strut and one ring disruption
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08/11/13