The radiographs are consistent with a Type I extra-articular glenoid neck fracture, which by definition is not significantly displaced. Type I fractures are best treated with a sling (2 weeks) and early mobilization. Significantly displaced fractures (Type 2), as defined by Goss, have translational displacement greater than or equal to 1 cm or angulatory displacement greater than or equal to 40°. These typically need ORIF. A schematic of the fracture types is shown in Illustration A.
McGahan et al review the epidemiology of scapula fractures and advocate conservative treatment with early mobilization.
Van Noort et al reviewed 13 scapular neck fractures and found that non-operative treatment in the absence of ipsilateral shoulder injury and associated neurological impairment lead to good functional outcomes, with or without significant translational displacement of the fracture.
Browner BD, Jupiter JB, Levine AM (eds): Skeletal Trauma. Philadelphia, PA, WB Saunders, 1992, pp 1291 -1301.
McGahan JP, Rab GT, Dublin A: Fractures of the scapula. J Trauma 1980;20;880-883.
PMID:6252325 (Link to Abstract)
Van Noort A, van Kampen A: Fractures of the scapula surgical neck: Outcome after conservative treatment in 13 cases. Arch Orthop Trauma Surg 2005;123:696-700.
PMID:16189689 (Link to Abstract)