Case Resolution

Normal Glenoid Ossification Mimicking a Fracture in an Adolescent Patient

Authors

DOI:

https://doi.org/10.15417/issn.1852-7434.2025.90.4.2188

Keywords:

Ossification, fracture, pediatrics, shoulder, diagnosis

Abstract

Differentiating normal ossification variants from fractures in children and adolescents with shoulder trauma is a common diagnostic challenge. We report the case of a 14-year-old male who, after a sports-related injury, was initially diagnosed with a glenoid fracture based on radiographs and computed tomography (CT). Subsequent evaluation, including a detailed physical examination and contralateral shoulder radiographs, showed that the suspected fracture represented normal ossification of the scapular growth centers. This case underscores the importance of a solid understanding of developmental anatomy, a thorough clinical examination, and the use of comparative imaging to avoid misdiagnosis and unnecessary treatment in this population.

Downloads

Download data is not yet available.

Author Biographies

  • Nicolás Rabello, Orthopedics and Traumatology Department, Sanatorio Allende, Córdoba, Argentina

    Orthopedics and Traumatology Department, Sanatorio Allende, Córdoba, Argentina

  • J. Javier Masquijo, Orthopedics and Traumatology Department, Sanatorio Allende, Córdoba, Argentina

    Orthopedics and Traumatology Department, Sanatorio Allende, Córdoba, Argentina

  • Lucas D. Marangoni, Orthopedics and Traumatology Department, Sanatorio Allende, Córdoba, Argentina

    Orthopedics and Traumatology Department, Sanatorio Allende, Córdoba, Argentina

References

Sidharthan S, Greditzer HG 4th, Heath MR, Suryavanshi JR, Green DW, Fabricant PD. Normal glenoid

ossification in pediatric and adolescent shoulders mimics Bankart lesions: A magnetic resonance imaging-based study. Arthroscopy 2020;36(2):336-44. https://doi.org/10.1016/j.arthro.2019.08.011

Goldberg AS, Moroz L, Smith A, Ganley T. Injury surveillance in young athletes: a clinician’s guide to sports injury literature. Sports Med 2007;37(3):265-78. https://doi.org/10.2165/00007256-200737030-00005

Zember JS, Rosenberg ZS, Kwong S, Kothary SP, Bedoya MA. Normal skeletal maturation and imaging

pitfalls in the pediatric shoulder. Radiographics 2015;35(4):1108-22. https://doi.org/10.1148/rg.2015140254

West SW, Shill IJ, Bailey S, Syrydiuk RA, Hayden KA, Palmer D, et al. Injury rates, mechanisms, risk factors and prevention strategies in youth rugby unión: What’s all the ruck-us about? A systematic review and meta-analysis. Sports Med 2023;53(7):1375-93. https://doi.org/10.1007/s40279-023-01826-z

Kothary S, Rosenberg ZS, Poncinelli LL, Kwong S. Skeletal development of the glenoid and glenoid-coracoid interface in the pediatric population: MRI features. Skeletal Radiol 2014;43(9):1281-8. https://doi.org/10.1007/s00256-014-1936-0

Delgado J, Jaramillo D, Chauvin NA. Imaging the injured pediatric athlete: Upper extremity. Radiographics 2016;36(6):1672-87. https://doi.org/10.1148/rg.2016160036

Lin DJ, Wong TT, Kazam JK. Shoulder injuries in the overhead-throwing athlete: Epidemiology, mechanisms of injury, and imaging findings. Radiology 2018;286(2):370-87. https://doi.org/10.1148/radiol.2017170481

Galán-Olleros M, Egea-Gámez RM, Palazón-Quevedo Á, Martínez-Álvarez S, Suárez Traba OM, Pérez

ME. Normal ossification of the glenoid mimicking a glenoid fracture in an adolescent patient: a case report. Clin Shoulder Elb 2023;26(3):306-11. https://doi.org/10.5397/cise.2022.01151

Published

2025-08-29

How to Cite

Case Resolution: Normal Glenoid Ossification Mimicking a Fracture in an Adolescent Patient. (2025). Revista de la Asociación Argentina de Ortopedia Y Traumatología, 90(4), 405-408. https://doi.org/10.15417/issn.1852-7434.2025.90.4.2188

Most read articles by the same author(s)