Treatment of Glenoid Fractures

Gramstad, Gregory D.; Marra, Guido

doi:10.1097/00132589-200206000-00006

Cited by 18 publications

(16 citation statements)

References 35 publications

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“…9,11 Posterior rim fractures larger than 33% of the glenoid surface are also considered unstable and warrant fixation. 12 Intra-articular steps larger than 5 mm are considered to have a significant risk of secondary arthrosis, 2,3,11,12,18,20 and residual joint incongruity of as little as 3 mm is associated with poor functional outcome. 2,18,20 Although most authors recommend open reduction and internal fixation for displaced glenoid fractures, 3,11,12,18,20,28 arthroscopically assisted fixation in case studies has been described with good clinical results.…”

Section: Discussionmentioning

confidence: 99%

“…12 Intra-articular steps larger than 5 mm are considered to have a significant risk of secondary arthrosis, 2,3,11,12,18,20 and residual joint incongruity of as little as 3 mm is associated with poor functional outcome. 2,18,20 Although most authors recommend open reduction and internal fixation for displaced glenoid fractures, 3,11,12,18,20,28 arthroscopically assisted fixation in case studies has been described with good clinical results. 1,8,10,34 Our study was conducted to further develop techniques for arthroscopically assisted percutaneous fixation of glenoid fractures and, in particular, to assess the risks of neurovascular injury.…”

Section: Discussionmentioning

confidence: 99%

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Arthroscopically assisted fixation of glenoid fractures: A cadaver study to show potential applications of percutaneous screw insertion and anatomic risks

Marsland

Ahmed

2011

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Arthroscopically assisted fixation of glenoid fractures: A cadaver study to show potential applications of percutaneous screw insertion and anatomic risks

Marsland

Ahmed

2011

Journal of Shoulder and Elbow Surgery

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“…Anterior rim fractures involving greater than 25 % of the articular surface are relatively indicated for operative fixation [3,53]. Posterior rim fractures larger than 33 % of the articular glenoid surface have also been considered unstable and warrant operative intervention [54].…”

Section: Intraarticular Surgical Indicationsmentioning

confidence: 99%

Scapula fractures

Cole

Freeman²,

Dubin³

2013

Curr Rev Musculoskelet Med

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Over the past decade, there has been an increased interest in understanding the operative indications and techniques in treating scapular fractures and tracking their outcomes. Multiple studies have documented poor functional outcomes following nonoperative management of displaced scapular fractures. There is a groundswell of recognition that severe deformity from scapular malunion is associated with functional consequences for patients. This has led to a growing recognition that scapular fractures should be held to the same standards as other bodily fractures with regard to fracture fixation principles, including anatomic articular reduction, proper alignment, and stable internal fixation. Through research, there has been an improved understanding of scapular fracture patterns and the relevant surgical approaches and exposures used for fracture fixation. As with many bones, however, there still remains the absence of a compelling study that defines thresholds for surgical indication based on degrees of deformity and amounts of displacement.

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“…The extensive dissection required for adequate visualization, potential impairment of vascular supply to bony fragments, and postoperative stiffness and weakness have led to an increase in the use of arthroscopic techniques. 2,3 As with any intra-articular fracture fixation, the goals are pain relief, return of function, and prevention of long-term sequelae such as arthrofibrosis and osteoarthritis.…”

mentioning

confidence: 99%

Arthroscopic-Assisted Fixation of Ideberg Type III Glenoid Fractures

Tao

Garrigues

2015

Arthroscopy Techniques

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Operative treatment of scapular fractures with extension into the glenoid can be a challenging clinical scenario. Though traditionally addressed in an open fashion, the morbidity of this approach, complemented by advancements in arthroscopic technique and instrumentation, has led to increasing use of arthroscopic-assisted fixation. We describe our technique, including pearls and pitfalls, for minimally invasive fixation of Ideberg type III glenoid fractures. This approach minimizes morbidity, allows optimal visualization and reduction, and provides good functional results.

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Treatment of Glenoid Fractures

Cited by 18 publications

References 35 publications

Arthroscopically assisted fixation of glenoid fractures: A cadaver study to show potential applications of percutaneous screw insertion and anatomic risks

Arthroscopically assisted fixation of glenoid fractures: A cadaver study to show potential applications of percutaneous screw insertion and anatomic risks

Scapula fractures

Arthroscopic-Assisted Fixation of Ideberg Type III Glenoid Fractures

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