Glenoid Fracture = Adhesive Capsulitis?

[adamd9]

Hi Physiobob,

Flexion is around 120 - 130 deg, abduction is around 100 - 110 deg. Active ER strength is good - close to normal from full IR but it drops off significantly as I approach the limits of my ER.

I guess the main thing that concerns me is that I've seen improvements in all other aspects, but almost none for ER.

I had an MRI and ultrasound done via my GP when I wasn't seeing a lot of progress after the scope (3D MRI attached). Muscle atrophy is minimal - none. Conclusions:
"Bone screw projecting 8mm anterior to the glenoid anterosuperiorly. Fracture of the glenoid is united. Limited external rotation on ultrasound. No discrete cuff tear identified. Small split tear long head of biceps tendon."

I fell approximately 2.5m through a ceiling cavity onto a carpeted concrete surface.
Report on the fracture: Cominuted scapular fracture, originating from superior aspect of the glenoid fosse, with moderate stepping and displacement at the articulation surface; extending through the supraspinatus compartment at two levels, traversing the suprascapular nucha; with significant dorsal displacement of the intervening bony plate - compatible with a type III glenoid intraarticular fracture.
Other injuries sustained:
-Left skull fracture, bleed on brain
-Left rib fractures: 1, 3-7
-Left lung puncture
-Left wrist hamate fracture
-Left transverse process fractures of T5 and T6

On the table (first scope) my surgeon said he achieved 70 deg but I doubted this. He took a photo during surgery which I have attached.

I've only included scans I think you'll find relevant, but I also spent some time this morning uploading all of the operative notes, reports, scans & other details I have, which might be useful.

Google docs link here: https://docs.google.com/leaf?id=0B6_...2NmUy&hl=en_US