Scapula Fracture Classifications
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Scapular fractures: Euler and Rüedi classificationIn: 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 C. fractures of scapular neck C1 anatomical neck C2 surgical neck C3 surgical neck with a. fracture clavicle and acromion D. Articular fractures D1 glenoid rim D2 glenoid fossa with a. inferior glenoid fragment D3 scapula neck and body fracture E. fracture combination |
Scapular fractures: DeCloux and Lemerle classificationDeCloux MP, Lemerle, Omoplate. Lille Chir: 215-227, 1956 Type 1: Scapula body fractures Type 2: Apophyseal fractures ( coracoid, acromion) Type 3: fractures through the supero-lateral angle of scapula |
OTA Scapula fracture Classification SystemOrthopedic Trauma Association
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Glenoid fractures: Ideberg ClassificationIdeberg 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 con- text 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: Combination of a Type II and Type IV pattern. Type VI: Severe continuation of glenoid surface (GOSS).
Ideberg R. fractures of the scapula involving the glenoid fossa. (From Batemans JE, Welsh RP (eds): In The surgery of the shoulder. Philadelphia, Decker 1984:63–66.) |
Glenoid fractures: Mayo classificationMayo modification of the Ideberg classification Mayo KA, Benirschke SK, Mast JW: Displaced fractures of the glenoid fossa: Results of open reduction and internal fixation. CORR 347:122–130, 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
Type 2: inferior glenoid fracture involving part of the neck
Type 3: superior glenoid fracture extending through
Type 4: Horizontal fracture involving scapular neck and body
Type 5: Type 4 fracture with complete or incomplete neck fracture
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Glenoid cavity fractures: Goss classsificationGoss 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
Type 2: Glenoid fracture exits at lateral border of scapula
Type 3: Glenoid fracture exits at superior border of scapula
Type 4: Glenoid fracture exits at medial border of scapula
Type 5: Combination fractures A- Types 2 & 4
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Types of traumatic shoulder girdle / shoulder suspensory complex disruption : GossGoss TP, J Am Acad Orthop Surg, 3:22-33, 1995 Single disruptionsType A: single disruption by a break Type B: single disruption by ligament disruption Double disruptionsType C: double ligament disruption Type D: double break Type E: combined bone and ligament disruption Type F: both struts disrupted Type G: one strut and one ring disruption |
