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Arthroscopy-assisted percutaneous fixation of glenoid fossa fracture


Burnley General Hospital, East Lancashire Hospitals NHS Trust, Casterton Avenue, Burnley, BB10 2PQ, United Kingdom

Correspondence Address:
Rahikiran Yallapragada
House-12, Ross Avenue, CARMARTHEN. SA31 1HX
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.34515

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Year : 2007  |  Volume : 1  |  Issue : 3  |  Page : 96-99

 

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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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Burnley General Hospital, East Lancashire Hospitals NHS Trust, Casterton Avenue, Burnley, BB10 2PQ, United Kingdom

Correspondence Address:
Rahikiran Yallapragada
House-12, Ross Avenue, CARMARTHEN. SA31 1HX
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.34515

Rights and Permissions

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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