Contribution of arthroscopy in the treatment of anterior glenoid rim fractures: a comparison with open surgery

Bonnevialle, Nicolas; Clavert, P; Arboucalot, Marine; Bahlau, David; Bauer, Thomas; Ehlinger, Matthieu; Sofcot,

doi:10.1016/j.jse.2018.07.008

Cited by 26 publications

(23 citation statements)

References 24 publications

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“…3,5,9 Arthroscopic fixation with screws has been described by Cameron 5 through a case report, and several authors have reported their results using the arthroscopic fixation technique 10,11 or ORIF using screws. 3,9 Only one study 12 has compared arthroscopic fixation and ORIF using screws, reporting similar functional scores. The functional results and complication rates of similar previous studies and the current study are summarized in online Appendix.…”

Section: Discussionmentioning

confidence: 99%

A novel plating technique for Ideberg type 1 A glenoid fractures: a report of five patients

et al. 2021

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Background Glenoid rim fractures are uncommon and generally associated with high complication rates. The most common treatment techniques include screw or anchor fixation. Here, we introduce a new fixation method to treat Ideberg type 1 A fractures. Methods A retrospective analysis was performed on patients treated with open reduction and plate fixation for Ideberg type 1 A fractures. The active range of motion capacity of both shoulders was recorded postoperatively. Constant-Murley score and Oxford disability index scores were used as outcome tools. Results Five patients (three men and two women) were evaluated; their mean age was 56 years (standard deviation (SD), 10 years). The mean follow-up period was 25 months (range, 6–69 months); all fractures healed radiologically during the follow-up period. The mean Constant-Murley score was 80.36 (SD 11.01); the mean Oxford disability index was 37 (SD 9). The subsequent flexion and external rotation of the injured shoulders were similar to those of the uninjured side (injured vs. uninjured side: flexion, 176 ± 5.4 vs. 178 ± 4.4; external rotation, 48 ± 10.9 vs. 60 ± 0). No patient showed signs of osteoarthritis, stiffness, instability, or chronic pain at the last follow-up. Discussion Open reduction and internal fixation with a plate is suitable for Ideberg type 1A glenoid fractures.

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Section: Discussionmentioning

confidence: 99%

A novel plating technique for Ideberg type 1 A glenoid fractures: a report of five patients

et al. 2021

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“…However, open surgery including arthrotomy with splitting or detachment of the subscapularis tendon is associated with several potential complications due to the substantial soft-tissue injury or owing to the risk of fracture fragmentation. Range of motion is poorer and the complication and reoperation rates are higher after open surgery compared with arthroscopic techniques 3, 4. Arthroscopy enables perfect visualization of the articular surface, minimizes the need for soft-tissue dissection, and offers the opportunity to both detect and address concomitant intra-articular injuries.…”

Section: Discussionmentioning

confidence: 99%

“…However, surgical treatment of intra-articular glenoid fractures remains technically challenging. Traditionally, these procedures have been performed through an extensive open approach with internal screw fixation, which is associated with numerous potential intraoperative and postoperative complications 3, 4. As a result, several arthroscopic techniques have been developed to minimize the morbidity of open surgery.…”

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confidence: 99%

Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture

Wafaisade

Pfeiffer

Balke

et al. 2019

Arthroscopy Techniques

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To date, several open and arthroscopic surgical procedures are available for the treatment of anterior glenoid fractures after anterior shoulder dislocation. Open approaches require extensive soft-tissue dissection and are associated with poorer outcomes. Arthroscopic screw fixation techniques are technically challenging and related to complications as well, for example, risk of brachial plexus injury or hardware impingement. Alternative arthroscopic fixation techniques use suture anchors placed along the fracture rim with sutures passed around the fragment. However, these techniques require an intact capsulolabral complex and cannot be used effectively for large fracture fragments. This article describes a safe interfragmentary, transosseous, all-arthroscopic procedure using a doubleecortical button fixation technique. This method can be used to achieve anatomic reduction and stable fixation of intermediate to large anterior glenoid fractures while minimizing the difficulties associated with previously described arthroscopic or open approaches.

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“…Various open techniques have been described for treating displaced articular glenoid fractures that require this kind of approach, with both intraoperative and postoperative risks. 8,9 Several arthroscopic techniques also have been described for reducing and fixing fractures with screws through anterior portals, crossing the subscapularis and involving the corresponding neurovascular risks. 10,11 Others include the use of instability anchors placed in the main glenoid fragment, crossing the displaced fragment with the sutures, so that when knotting is performed, the fracture is reduced and stabilized.…”

mentioning

confidence: 99%

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

Pastor

2020

Arthroscopy Techniques

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An arthroscopic technique for the reduction and stable fixation of an articular glenoid fracture with a 2-button compression system, originally designed for the treatment of shoulder instability with bone deficiency in the anterior glenoid, is presented. This technique allows direct visualization of the joint, reduction of the fracture, precise placement of the buttons according to the fracture line, and stable fixation. It is a safe and reproducible technique, using the standard shoulder arthroscopy portals.

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Contribution of arthroscopy in the treatment of anterior glenoid rim fractures: a comparison with open surgery

Abstract: OATAO is an open access repository that collects the work of some Toulouse researchers and makes it freely available over the web where possible.

Cited by 26 publications

References 24 publications

A novel plating technique for Ideberg type 1 A glenoid fractures: a report of five patients

A novel plating technique for Ideberg type 1 A glenoid fractures: a report of five patients

Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture

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

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