FRACTURE OF THE SHOULDER SOCKET

What is a glenoid fracture?

A glenoid fracture is a break in the glenoid cavity—the bony part of the shoulder blade that, together with the humeral head, forms the shoulder joint. Such fractures usually occur after significant force, such as falls or sports accidents.

How does a shoulder socket fracture occur?

A fracture of the shoulder socket often occurs as a result of high-energy accidents. Typical causes include falls while mountain biking, skiing, or horseback riding. A dislocated shoulder can also damage the rim of the socket, leading to a so-called glenoid rim fracture.

What symptoms occur with a glenoid fracture?

Typical symptoms include severe pain in the shoulder area, limited mobility, and a feeling of instability. Swelling or bruising often also occurs. If a shoulder dislocation occurs, a cracking or rubbing sensation may be heard and felt.

How is a glenoid fracture diagnosed?

Diagnosis is usually made through an X-ray. For more complex fractures, a computed tomography (CT) scan is also used. This allows the precise course of the fracture to be assessed and appropriate treatment planned.

How do you treat a shoulder socket fracture?

Non-displaced fractures can often be treated conservatively—for example, with immobilization and physical therapy. Displaced or unstable fractures are treated surgically using keyhole surgery. The goal is to precisely reconstruct the joint surface to prevent subsequent damage such as instability or osteoarthritis.

What are the chances of recovery after a glenoid fracture?

Thanks to modern treatment methods and targeted aftercare, the chances of recovery are good. In most cases, shoulder function is almost completely preserved. Early diagnosis and individually tailored therapy are crucial.

Conservative or surgical treatment – which is better?

Whether a glenoid fracture is treated surgically or conservatively depends on several factors. The decisive factors are not only the extent to which the bone fragments are displaced , but also:

• The age of the patient

• The everyday and sports demands

• The stability of the joint

• Accompanying injuries such as dislocation or tendon rupture

For older patients with low physical activity and a stable fracture, conservative treatment is often sufficient. This typically includes immobilization in an arm sling , pain medication, and targeted physiotherapy.

For people who are physically active or if the fracture significantly impacts the joint, surgery is usually the better option. The goal is to precisely reconstruct the joint surface to prevent the later development of osteoarthritis or chronic instability .

What is the follow-up care after a glenoid fracture?

Rehabilitation is a crucial component of treatment—regardless of whether surgery was performed. After the acute phase, targeted physiotherapy follow-up treatment begins, usually in the following phases :

1. Protection phase (0–3 weeks): Shoulder rest, possibly immobilization with a shoulder brace. Initial passive movements under supervision.

2. Mobilization phase (3–6 weeks): Gentle movement exercises to restore mobility.

3. Strengthening phase (from 6 weeks): Building up the muscles, especially the rotator cuff.

4. Functional training (from 8–12 weeks): Return to work, everyday life or sport – individually adapted.

Depending on the severity of the fracture and the chosen therapy, complete healing can take 3 to 6 months .

Possible complications of a fracture of the shoulder socket

A fracture of the shoulder socket (glenoid fracture) is less common than a fracture of the humeral head and usually occurs after significant force. As with any bone injury, there are potential risks associated with a glenoid fracture. These include:

• Delayed bone healing or pseudarthrosis (false joint formation)

• Limited mobility due to scarring or adhesions

• Shoulder stiffness due to insufficient mobilization

• Chronic instability after marginal fractures or recurrent instabilities

• Later development of shoulder arthrosis

That's why it's important to take rehab seriously and attend all follow-up appointments.

How can I protect my shoulder after the injury?

After recovering from a glenoid fracture, you should actively care for your shoulder to maintain long-term stability and pain-free recovery. Pay attention to the following points:

• Avoid heavy overhead loads in the first few months

• Regularly perform strengthening exercises for the shoulder muscles

• Pay attention to your posture in everyday life, especially at work

• Build up mobility and coordination – physiotherapy can continue to be useful even after rehabilitation

• Early reaction to new complaints – don’t wait, get examined

Conclusion: Glenoid fracture – easily treatable with individual therapy and rehabilitation

A glenoid fracture is rare but treatable – especially if detected early. Thanks to modern surgical techniques, structured rehabilitation, and individualized care, many patients can return to full activity after a glenoid fracture – whether at work, in everyday life, or in sports.

If you suspect a shoulder fracture or are experiencing pain after a fall, don't hesitate. We will provide you with comprehensive advice and create a customized treatment plan for your shoulder.

👉 Make an appointment now – we are here for you.