Displaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with nonunion Save

Displaced Fracture of Glenoid Cavity of Scapula, Left Shoulder, Subsequent Encounter for Fracture with Nonunion

A displaced fracture of the glenoid cavity of the scapula refers to a severe injury that occurs when the bony structure within the shoulder socket is fractured and significantly displaced from its normal position. This type of fracture is often caused by high-energy trauma, such as a fall or a direct blow to the shoulder. When the fracture fails to heal properly, it is referred to as a nonunion.

Nonunion can occur due to various factors, including inadequate immobilization, poor blood supply to the fractured area, infection, or the presence of other medical conditions that hinder the healing process. It is important to address a nonunion promptly, as it can lead to chronic pain, limited range of motion, and functional impairment.

During a subsequent encounter for a displaced fracture with nonunion, a comprehensive evaluation is conducted to assess the condition's progress. This may involve a physical examination, imaging tests, and a review of the patient's medical history. The goal is to determine the extent of the nonunion and develop an appropriate treatment plan.

1. Physical Examination: The doctor will carefully examine the shoulder, assessing the range of motion, stability, and any signs of deformity or tenderness.
2. Imaging Tests: X-rays, CT scans, or MRI scans may be ordered to obtain detailed images of the fractured area, which can help identify the presence of nonunion and guide further treatment decisions.
3. Medical History: The patient's medical history is crucial in understanding any underlying conditions or previous treatments that may have contributed to the nonunion. This information assists in tailoring the treatment approach.

It is essential to consult with an orthopedic specialist or a shoulder surgeon to determine the most suitable treatment for a displaced fracture with nonunion. Treatment options may include surgical intervention, such as open reduction and internal fixation, or non-surgical approaches, like immobilization and physical therapy.

Ultimately, seeking timely medical attention for a displaced fracture with nonunion is vital to ensure optimal healing and recovery. If left untreated, the nonunion can lead to long-term complications and functional limitations.