The aim of this study was to evaluate patient related outcome and shoulder stability following open reduction and internal fixation (ORIF) in patients with glenoid rim fractures. After a median follow-up of four years, 14 patients completed the Rowe Shoulder Stability Score and Quick DASH questionnaire. The median Rowe score was 90 (Q1: 88, Q3: 100). Results were graded excellent in 11 patients and good in three. The median DASH score was 4.6 (Q1: 0, Q3: 32). In conclusion this study showed that ORIF of type la and 2 glenoid rim fractures provided satisfactory results with respect to prevention of instability. However, patient reported functional outcome was disappointing in 21% of the patients.