Minör Travmanın Neden Olduğu İzole Deplase Glenoid Fraktürü: Bir Olgu Sunumu

Öz

Glenoid, omuz ekleminde humerus başına bakan ve skapulanın lateralinde yer alan sığ bir yapıdır. Glenoid fossa eklem içi kırıkları, skapular kırıkların sadece %1'ini oluşturur ve yüksek enerjili travma ile ilişkilidir. 84 yaşında kadın hasta, kendi seviyesinden omzunun üzerine düşmesi sonucu sol kolunda ağrı ve kolunu hareket ettirememe şikayeti ile acil servise başvurdu. Hastanın omuz grafisinde glenoid rimde kırık olabilecek şüpheli bir alan izlendi. BT'de glenoid kenardan başlayan ve skapula medial duvarına uzanan deplase bir kırık hattı izlendi. Hastaya Velpau bandaj uygulandı. Yaşlı kadın hastalar, omuz kuşağına düşük enerjili bir travmaya (kendi seviyesinden düşme gibi) maruz kalsalar dahi dikkatle muayene edilmeli ve gerekli görüntüleme yapılmalıdır. Gelişmiş görüntüleme yöntemlerinden biri olan bilgisayarlı tomografi, radyografide şüpheli glenoid kırığı görüntüsü bulunduğunda uygulanmalıdır.

Anahtar Kelimeler

• skapula fraktürü
• izole glenoid fraktürü
• acil servis
• minör travma

Isolated Displaced Glenoid Fracture Caused by Minor Trauma: a Case Report

Abstract

The glenoid is a shallow structure in the shoulder joint, facing the humeral head and located lateral to the scapula. Glenoid fossa intra-articular fractures account for only 1% of scapular fractures and are associated with high-energy trauma. An 84-year-old female patient admitted to the emergency department with the complaint of pain in her left arm and inability to move her arm as a result of falling over her shoulder from her own level. On the shoulder radiograph of the patient, a suspicious area that could be a fracture in the glenoid rim was observed. CT revealed a displaced fracture line starting from the glenoid rim and extending to the medial wall of the scapula. Velpau bandage was applied to the patient. Elderly female patients should be carefully examined and necessary imaging should be performed, even if they are exposed to a low-energy trauma to the shoulder girdle (such as falling from one's own level). Computed tomography, which is one of the advanced imaging methods, should be applied when a suspicious image of a glenoid fracture is found on the radiography.

Keywords

• scapular fracture
• isolated glenoid fracture
• emergency department
• minor trauma

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