Nork et al. describe the surgical approach, reduction sequence, and fixation strategy for displaced Ideberg-Goss Type IV, V, and VI glenoid fractures — complex, high-energy injuries that share a fracture line extending medially into the scapular body — in 17 operatively treated patients at a single level-I trauma center.
When you encounter a glenoid fracture with medial scapular body extension (Types IV, V, or VI), plan a modified posterior approach and reduce the medial border before the articular surface — restoring scapular length and rotation first creates the anatomic space needed for an accurate articular reduction through the same incision.
Nork et al. describe the surgical approach, reduction sequence, and fixation strategy for displaced Ideberg-Goss Type IV, V, and VI glenoid fractures — complex, high-energy injuries that share a fracture line extending medially into the scapular body — in 17 operatively treated patients at a single level-I trauma center.
When you encounter a glenoid fracture with medial scapular body extension (Types IV, V, or VI), plan a modified posterior approach and reduce the medial border before the articular surface — restoring scapular length and rotation first creates the anatomic space needed for an accurate articular reduction through the same incision.