AOSSM 2022 Annual Meeting Recordings - no CME-Anteroinferior Glenoid Rim Fractures in Shoulder Instability Patients Over 50: A Matched Cohort Analysis of Risk Factors, Treatment Strategies, and Outcomes

Anteroinferior Glenoid Rim Fractures in Shoulder Instability Patients Over 50: A Matched Cohort Analysis of Risk Factors, Treatment Strategies, and Outcomes

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Video Transcription

Video Summary

In this video, the speaker discusses a study on the incidence of glenoid rim fractures in older patients with shoulder instability. They used the Rochester Epidemiology Database to gather data on patients over the age of 50 with anterior shoulder instability from 1994 to 2016. They found that approximately 23% of patients over 50 with a first-time shoulder instability event had a glenoid rim fracture. Of those with a fracture, around 30% required surgery. The main risk factors for surgery were a fragment size larger than 33% of the glenoid width and a BMI greater than 30. The presence of a glenoid rim fracture did not significantly impact other outcomes such as recurrent instability or osteoarthritis progression. Overall, the study suggests that glenoid rim fractures are relatively common in older patients with shoulder instability, but most do not require surgery.

Asset Caption

Christopher Camp, MD

Keywords

glenoid rim fractures

older patients

shoulder instability

Rochester Epidemiology Database

surgery