Arthroscopic Reduction and Stable Fixation of an Anterior Glenoid Fracture With 4 Buttons

Pastor, Pablo Cañete San

doi:10.1016/j.eats.2020.05.017

Cited by 4 publications

(6 citation statements)

References 22 publications

(34 reference statements)

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“…To date, there are no documented series with the use of buttons, only one case report by Taverna et al 27 with good functional results and successful consolidation at six months. Between 2019 and 2020, 4 technical articles 51 52 53 54 were published, in which the most important details of the technique are described with promising results ( Table 2 ).…”

Section: Clinical Results According To the Surgical Techniquementioning

confidence: 99%

“…A la fecha, no existen series documentadas con el uso de botones, solo un reporte de caso por Taverna et al 27 con buenos resultados funcionales y consolidación exitosa a los seis meses. Entre 2019 y 2020, 4 artículos técnicos 51 52 53 54 fueron publicados, en los cuales se describen los detalles más importantes de la técnica con resultados promisorios ( ).…”

Section: Resultados Clínicos Según La Técnica Quirúrgicaunclassified

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Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Moran

2022

Revista Chilena de Ortopedia y Traumatología

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ResumenLas lesiones óseas en el borde anterior del anillo glenoideo secundarias a un episodio de inestabilidad anterior del hombro cada vez son más reportadas. Conocidas como lesión de Bony Bankart, su presencia genera una pérdida de la estabilidad estática glenohumeral que provoca un aumento del riesgo de un nuevo evento de luxación. Por ende, resulta fundamental que los cirujanos ortopédicos comprendan y diagnostiquen estas lesiones de forma correcta y oportuna para evaluar la necesidad de restaurar la superficie articular glenoidea. El objetivo de esta revisión narrativa es otorgar los conceptos más importantes de la lesión ósea de Bankart para comprender y enfrentar de forma adecuada esta lesión. Nivel de Evidencia V

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Section: Clinical Results According To the Surgical Techniquementioning

confidence: 99%

Section: Resultados Clínicos Según La Técnica Quirúrgicaunclassified

Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Moran

2022

Revista Chilena de Ortopedia y Traumatología

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“…Various fixation devices based on an arthroscopic approach have been used to treat acute anterior glenoid fracture, which are advantageous for the precise reduction of the articular fracture gap [1, 2, 14, 26]. Voleti et al introduced the arthroscopic reduction of anterior glenoid fracture with metallic screw fixation and reported satisfactory clinical outcomes [26].…”

Section: Discussionmentioning

confidence: 99%

“…However, the surgical treatment of anterior glenoid fracture is challenging because of the ambiguous size of the fracture fragment and deep anatomical position of the glenoid. For the accurate reduction of the articular surface, an arthroscopic approach has been used to reduce anterior glenoid fracture [2, 7, 26]. Despite arthroscopic fracture reduction, secure fixation of the anterior glenoid fragment is still difficult.…”

Section: Introductionmentioning

confidence: 99%

“…Despite arthroscopic fracture reduction, secure fixation of the anterior glenoid fragment is still difficult. Various devices such as metallic screws and a suspensory loop fixation device may be used for fracture fixation; however, several complications have been reported including fracture fragment breakage or fragment rotation during fragment fixation [2, 19, 23, 26].…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic double-row bridge fixation provided satisfactory shoulder functional restoration with high union rate for acute anterior glenoid fracture

Park

Lee

2023

Knee Surg Sports Traumatol Arthrosc

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PurposeTo introduce a novel surgical technique for arthroscopic reduction and double‐row bridge fixation using trans‐subscapularis tendon portal for anterior glenoid fracture and to evaluate the clinical and radiological outcomes. MethodsA total of 22 patients who underwent arthroscopic reduction and double‐row bridge fixation for an acute anterior glenoid fracture were retrospectively evaluated. Arthroscopic surgery was performed using four portals including a trans‐subscapularis tendon portal. All patients underwent 3D‐CT preoperatively and one day and one year postoperatively to evaluate the fracture fragment size, reduction status, and presence of fracture union. To evaluate the degree of fragment displacement, articular step‐off and medial fracture gap were measured using 3D‐CT. Clinical outcomes were assessed based on the ASES and Constant scores. Postoperative glenohumeral joint arthritis was evaluated using plain radiographs with the Samilson and Prieto classification. ResultsThe average preoperative fracture fragment size was 25.9 ± 5.6%. Articular step‐off (preoperative: 6.0 ± 3.3 mm, postoperative one day: 1.1 ± 1.6 mm, P < 0.001) and medial fracture gap (preoperative: 5.2 ± 2.6 mm, postoperative one day: 1.9 ± 2.3 mm, P < 0.001) were improved after surgery. On the postoperative one year 3D‐CT, 20 patients achieved complete fracture union, and two patients showed partial union. Postoperative glenohumeral joint arthritis was observed in four patients. At the last visit, the ASES score was 91.8 ± 7.0 and the Constant score was 91.6 ± 7.0. ConclusionArthroscopic reduction and double‐row bridge fixation using a trans‐subscapularis tendon portal for acute anterior glenoid fracture achieved satisfactory clinical outcomes and anatomical reduction as demonstrated by a low degree of articular step‐off and medial fracture gap. Level of evidenceLevel IV.

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A novel arthroscopic transosseous suture-button fixation technique for anterior glenoid fractures

et al. 2022

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Background This study evaluated the clinical and radiological results of a new transosseous suture-button fixation technique for anterior glenoid fractures. Methods From March 2017 to May 2021, 23 patients with anterior glenoid fractures were treated with the new technique. Demographic data, active shoulder function, and several shoulder scores were evaluated after a minimum of 6 months. Fracture reduction and button placement were assessed via computed tomography, while fracture healing and onset or progression of glenohumeral osteoarthritis were evaluated with X‑rays. Results Overall, 57% of the patients had relevant concomitant intra-articular injury. Clinical follow-up was performed for 22 patients (19 male, 3 female) at 15 months (6.0–34.5) after surgery. The average Constant Score was 83.2 ± 16.7 points (93.4% ± 18.8% vs. the contralateral side), the Rowe Score, 90.7 ± 10.4 points, the Melbourne Instability Shoulder Score (/100), 88.3 ± 14.5 points, the Western Ontario Shoulder Instability Index (%), 82.9 ± 16.7, and the Subjective Shoulder Value (%), 86.9 ± 16.1. Average range of motion was 171.4 ° ± 22.7 ° of flexion (contralateral side, 180 ° ± 0 °; p = 0.11) and 170.5 ° ± 23.6 ° of abduction (contralateral side, 179.6 ± 2.1; p = 0.07). No complications occurred and no revision surgery was required. The postoperative step-off of the glenoid averaged 1.55 ± 1.05 mm (0–4 mm). Radiological follow-up of 19 patients showed fracture consolidation in all cases, without secondary dislocation of the fracture or of heterotopic ossification. There was no sign hardware impingement or dislocation. There was new-onset osteoarthritis in 3 cases (15.8%). We found no correlation between the step-off and radiological signs of osteoarthritis. Conclusion Anterior glenoid fractures were treated safely and reproducibly with the novel arthroscopic double-button-suture technique, but long-term results are still needed.

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Arthroscopic Reduction and Stable Fixation of an Anterior Glenoid Fracture With 4 Buttons

Cited by 4 publications

References 22 publications

Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Arthroscopic double-row bridge fixation provided satisfactory shoulder functional restoration with high union rate for acute anterior glenoid fracture

A novel arthroscopic transosseous suture-button fixation technique for anterior glenoid fractures

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