Arthroscopic treatment of an anterior glenoid fracture with a cannulated, headless screw and suture anchors: a case report

Abstract

Recently, anterior glenoid fractures have been treated arthroscopically with either suture anchors or screws. The keys to this arthroscopic procedure are to repair the labrum and to firmly fix the osseous fragment. We used suture anchors to repair the labrum and reduce the osseous fragment, and a cannulated headless screw to fix the osseous fragment. This is the first case report of arthroscopic treatment of an anterior glenoid fracture using suture anchors and a cannulated headless screw.

Results and Functional Outcome of Arthroscopically-assisted Fixation of Glenoid Fractures: Three Cases

“…The aims of surgery are to achieve anatomical reduction of the glenoid articular surface and to regain glenohumeral stability. Arthroscopic fracture treatment of the shoulder was first described by Gartsman and Taverna [16] and, subsequently, procedures such as arthroscopic repair of glenoid rim fractures have become well established [17–20]. To our knowledge, the present study represents the first series of transverse glenoid fractures to be treated successfully with arthroscopically‐assisted percutaneous fixation.…”

Arthroscopic Bony Bankart Repair Using Double-Threaded Headless Screw: A Case Report

“…Recently, arthroscopic reduction and internal fixation of bony fragment using cancellous screws [ 6 , 11 ] or suture anchors [ 7 , 8 , 10 ] has resulted in successful outcomes in terms of the recurrence rate and function in shoulders. The cancellous screw fixation provides a firm compression between the fragment and glenoid, however, the screw head is exposed intraarticular space which might impinge the humeral head in the [ 9 , 10 ]. The conventional suture anchor repair does not provide compression of the fractured fragment, and the bony piece may tilt because of the single point fixation [ 8 ] To increase the contact area between the fragment and the glenoid, penetrating the fragment to pass a suture [ 10 ] or fixing the fragment with dual row technique has been introduced [ 7 , 8 ], however, these methods are technically difficult.…”

“…We choose DTJ screw, which is cannulated and headless, for arthroscopic reduction and internal fixation for the case in which fragment is larger than 10 mm in width, and this method enables to reduce the bony fragment easily and provides sufficient compression to the fracture site. Sano et al [ 9 ] reported an arthroscopic treatment of an anterior glenoid fracture using the DTJ screw with suture anchors resulting in the good clinical result.…”

Freehand versus navigated glenoid anchor positioning in anterior labral repair

“…The use of suture anchors is a well‐established technique in the repair of glenoid labrum lesions and may be performed as a minimally invasive procedure under arthroscopic guidance [3, 7, 10, 13, 15]. Such an operation depends on anchor placement accuracy in order to avoid complications such as slippage and protrusion of the anchors into the glenoid articular surface in situations when the insertion angle does not follow the dissection line of the cross‐section of the glenoid [4, 8].…”