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Arthroscopy-assisted percutaneous fixation of glenoid fossa fracture

Author(s): Yallapragada Rahikiran | Patel Kuntal | Davuluri Pardhasaradhi | Sloan Andy | Marynissen Hans

Journal: International Journal of Shoulder Surgery
ISSN 0973-6042

Volume: 1;
Issue: 3;
Start page: 96;
Date: 2007;
Original page

Keywords: Arthroscopy | fracture glenoid | glenoid | intraarticular | percutaneous fixation | shoulder arthroscopy

We are reporting an interesting case of glenoid fracture in a 46-year-old male which was fixed with the help of arthroscopy. At present, anterior or posterior glenoid rim fractures and some greater tuberosity fractures are widely treated arthroscopically. We report the arthroscopically assisted fixation of a transverse articular glenoid fracture. Arthroscopic reduction and percutaneous fixation of glenoid fractures not only allows anatomic reduction with minimal surgical trauma but provides a valid diagnostic and treatment alternative for associated capsular, ligamentous, labral or tendon injuries as well as joint irrigation. The principle portals are discussed. We suggest fixation with cannulated screws for better stability of fracture fragments and advise K-wires for fractures that are comminuted and not amenable to cannulated screw fixation. However, arthroscopic fixation of shoulder fractures is associated with a learning curve depending on surgeon′s experience in shoulder arthroscopy.
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