### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I accidentally tripped early this morning, inside my home. I am 6-5, 215 pounds. I was falling flat on my face, which I broke my fall by landing on my left elbow, in turn fracturing my scapula. I have had 5 surgeries to my left shoulder, to repair multiple labrum repairs, with the Bankart Procedure being performed. Prior to today, my Orthopedic Doctor stated that I would eventually need a total shoulder replacement. I am in SEVERE PAIN, and m local hospital called Dr. Felix Savoie, with the Tulane Sports Medical Facility, who is my shoulder Doc, and he will see me tom at 12:30. I am more than certain that I have torn more ligaments, and from the pain, it appears that I have a fracture to the glenoid portion of the scapula. Could you possibly give me your Expert Oppinion as to the prognosis/recovery, that I may be facing in the very near future? Any assistance would be much appreciated. Thank you for your attention to this matter

### output:

Dear patient First, diagnosis as to the cause of left shoulder pain should be done to give prognosis. As you said multiple surgeries are done on left shoulder. First X-ray of the left shoulder anteroposterior and axillary views should be done to rule out bony injury. Scapula fracture usually heals with conservative treatment and has good prognosis. Other investigation needed is MRI of the left injury to check for soft tissue injury. If muscle is torn and there is ban kart lesion injury prognosis should be guarded and surgery may be needed again. Please consult your operating surgeon with reports.  Take Care!  Regards