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Rheumatology21 papers

Fracture subluxation of shoulder joint

Last edited: 4/10/2026

Overview

Fracture subluxation of the shoulder joint refers to a condition where the humeral head is partially dislocated from the glenoid fossa, accompanied by a fracture. This can involve fractures of the glenoid rim or the humeral head.

Diagnosis

  • Diagnosis is typically made with plain radiographs, including anteroposterior (AP), scapular Y, and axillary views 1.
  • Computed tomography (CT) may be necessary for detailed assessment of fracture displacement and intra-articular involvement 1.
  • Magnetic resonance imaging (MRI) can evaluate associated soft tissue injuries, such as labral tears or rotator cuff pathology 1.

    • Management

  • Nonoperative management may be considered for minimally displaced fractures and subluxations, often involving immobilization and early range-of-motion exercises 1.
  • Surgical intervention is indicated for significantly displaced fractures, glenoid rim fractures with instability, or when conservative management fails 1.
  • Surgical techniques can include open reduction and internal fixation (ORIF) of the fracture fragments and repair of associated soft tissue injuries 1.
  • Arthroscopy can be used for diagnosis and treatment of intra-articular pathology 1.

    • Special Populations

  • No specific information is provided regarding special populations in the provided abstracts.

    • Key Recommendations

  • Plain radiographs (AP, scapular Y, axillary views) are the initial imaging modality for suspected shoulder fracture subluxation 1. (Evidence: Expert opinion)
  • CT scanning is recommended for detailed evaluation of fracture displacement and intra-articular extension 1. (Evidence: Expert opinion)
  • Surgical management is indicated for unstable fracture subluxations or those with significant displacement 1. (Evidence: Expert opinion)

    • References

    1 Neviaser TJ. Intra-articular inflammatory diseases of the shoulder. Instructional course lectures 1989. link

    Original source

    1. [1]
      Documenting rotation at the glenohumeral joint. A technical note. — Kumar VP, Satku SK Acta orthopaedica Scandinavica (1994)
    2. [2]
      Intra-articular inflammatory diseases of the shoulder. — Neviaser TJ Instructional course lectures (1989)
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