Executive Editor: Joseph Schatzker

Authors: Jonas Andermahr, Michael McKee, Diane Nam

Scapula

back to skeleton

Glossary

Glenoid fossa, extraarticular, simple

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment <20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Basic surgical experience, no specialized skills Basic equipment only
ORIF - Plate fixation >20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Highly experienced and skilled surgeon Simple surgical and imaging resources

Glenoid fossa, extraarticular, wedge

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment <20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Basic surgical experience, no specialized skills Basic equipment only
ORIF - Plate fixation >20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Highly experienced and skilled surgeon Simple surgical and imaging resources

Glenoid fossa, extraarticular, multifragmentary

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment <20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Basic surgical experience, no specialized skills Basic equipment only
ORIF - Plate fixation >20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Highly experienced and skilled surgeon Simple surgical and imaging resources

Glenoid fossa, partial articular, anterior simple

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Low demand patients Basic surgical experience, no specialized skills Basic equipment only
ORIF - Lag screw fixation Large enough fragments to accommodate ORIF - lag screw fixation. Some specialized surgical experience Basic equipment only
MIO - Lag screw fixation Large enough fragments to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Full specialized surgical and imaging resources
ORIF - Suture anchors Fragments too small to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Glenoid fossa, partial articular, anterior multifragmentary

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Low demand patients Basic surgical experience, no specialized skills Basic equipment only
ORIF - Lag screw fixation Large enough fragments to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Simple surgical and imaging resources
ORIF - Suture anchors Fragments too small to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Glenoid fossa, partial articular, posterior simple

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Low demand patients Basic surgical experience, no specialized skills Basic equipment only
ORIF - Lag screw fixation Large enough fragments to accommodate ORIF - lag screw fixation. Some specialized surgical experience Simple surgical and imaging resources
MIO - Lag screw fixation Large enough fragments to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Full specialized surgical and imaging resources
ORIF - Suture anchors Fragments too small to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Glenoid fossa, partial articular, posterior multifragmentary

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Low demand patients Basic surgical experience, no specialized skills Basic equipment only
ORIF - Lag screw fixation Large enough fragments to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Simple surgical and imaging resources
ORIF - Suture anchors Fragments too small to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Glenoid fossa, partial articular, transverse simple

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Low demand patients Basic surgical experience, no specialized skills Basic equipment only
ORIF - Lag screw fixation Large enough fragments to accommodate ORIF - lag screw fixation. Some specialized surgical experience Simple surgical and imaging resources
MIO - Lag screw fixation Large enough fragments to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Glenoid fossa, partial articular, transverse multifragmentary

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Low demand patients Basic surgical experience, no specialized skills Basic equipment only
ORIF - Lag screw fixation Large enough fragments to accommodate ORIF - lag screw fixation. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Glenoid fossa, complete articular, simple articular, simple neck

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Congruent articular surface; <20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Basic surgical experience, no specialized skills Basic equipment only
ORIF - Plate fixation Non congruent articular surface; >20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Glenoid fossa, complete articular, articular simple, neck complex/wedge

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Congruent articular surface; <20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Basic surgical experience, no specialized skills Basic equipment only
ORIF - Plate fixation Non congruent articular surface; >20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Glenoid fossa, complete articular, multifragmentary articular

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Congruent articular surface; <20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Basic surgical experience, no specialized skills Basic equipment only
ORIF - Plate fixation Non congruent articular surface; >20° deviation in angle between the glenoid and lateral scapular rim compared to the anatomical angle. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Body and processes, acromion

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Non displaced fractures and no additional lesions to the shoulder girdle Basic surgical experience, no specialized skills Basic equipment only
ORIF - Lag screw fixation Displaced fractures Some specialized surgical experience Basic equipment only
ORIF - Tension band Displaced fractures Some specialized surgical experience Basic equipment only

Body and processes, coracoid

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Non displaced fractures and no additional lesions to the shoulder girdle Basic surgical experience, no specialized skills Basic equipment only
ORIF - Lag screw fixation Displaced fractures and associated injuries to the shoulder girdle. Some specialized surgical experience Basic equipment only

Body and processes, body

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Provide mechanical support to begin shoulder movement Basic surgical experience, no specialized skills Basic equipment only

Special considerations

Complete LSSS Failure
Floating shoulder - Sequence of repair
Ligament reconstruction
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

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