Surgical exposure and fixation of displaced type IV, V, and VI glenoid fractures.

Displaced intra-articular fractures of the glenoid are rare and frequently result from high-energy injuries. Types IV, V, and VI fractures have in common a fracture line which extends medially into the scapular body. These fracture patterns present unique challenges for surgical approaches and reduction and fixation strategies. A modified posterior approach allows for the simultaneous exposure of the medial scapular border and the glenoid articular surface. An initial reduction of the medial fracture indirectly restores the scapular relationship, allowing for subsequent completion of the articular reduction via a limited approach to the posterior shoulder using the same incision.