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DOI: 10.1055/s-0044-1790595
Long-term Outcomes 18 Years after the Arthroscopic Fixation of a Scapular Articular Fracture: A Case Report
Article in several languages: português | English Financial Support The authors declare that the authors received no financial support from public, commercial, or not-for-profit sources
Abstract
Reduction and fixation of glenoid cavity fractures using arthroscopy cause little surgical trauma, allowing the complementary diagnosis and treatment of potentially associated injuries (either capsular, ligamentous or tendon lesions) with promising outcomes. The authors report a case of Ideberg type III glenoid fracture with a distal clavicle fracture which underwent percutaneous reduction and bone fixation (with Kirschner wires) using an arthroscopic technique. We describe the procedure and the outcomes after 18 years of follow-up. The clinical assessment included the functional University of California at Los Angeles (UCLA) score criteria and radiographic studies. The result was excellent/satisfactory, with the patient asymptomatic over time and without relevant radiographic changes. Although the management of glenoid fractures by arthroscopy remains evolving, it is a good treatment alternative to the open approach, especially in less complex fractures.
Work carried out at the Hospital XV, Curitiba, PR, Brazil.
Publication History
Received: 04 July 2023
Accepted: 19 September 2023
Article published online:
27 December 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Referências
- 1 Dimopoulos L, Antoniadou T, Desai C, Nikolaides AP, Kalogrianitis S. Operative treatment of complex intra-articular scapular fractures: long-term functional outcomes in a single-center study. Eur J Orthop Surg Traumatol 2023; 33 (05) 1621-1627
- 2 Lin IH, Lin TL, Chang HW. et al. Arthroscopy-Assisted Reduction and Internal Fixation versus Open Reduction and Internal Fixation for Glenoid Fracture with Scapular Involvement: A Retrospective Cohort Study. J Clin Med 2022; 11 (04) 1131
- 3 Yang HB, Wang D, He XJ. Arthroscopic-assisted reduction and percutaneous cannulated screw fixation for Ideberg type III glenoid fractures: a minimum 2-year follow-up of 18 cases. Am J Sports Med 2011; 39 (09) 1923-1928
- 4 Seidl AJ, Joyce CD. Acute fractures of the glenoid. J Am Acad Orthop Surg 2020; 28 (22) e978-e987
- 5 Ellman H, Hanker G, Bayer M. Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 1986; 68 (08) 1136-1144
- 6 Carro LP, Nuñez MP, Llata JI. Arthroscopic-assisted reduction and percutaneous external fixation of a displaced intra-articular glenoid fracture. Arthroscopy 1999; 15 (02) 211-214
- 7 Bonczek SJ, Hutchinson R, Chakravarthy J. An innovative method of fracture reduction in an arthroscopically assisted cannulated screw fixation of an Ideberg type III glenoid fracture. Int J Shoulder Surg 2015; 9 (02) 56-59
- 8 Park SG. Arthroscopy assisted 2 cannulated screw fixation for transverse glenoid fracture: A case report. Clin Shoulder Elbow 2016; 19 (02) 105-109 Available from https://www.cisejournal.org/journal/view.php?number=402
- 9 Marsland D, Ahmed HA. Arthroscopically assisted fixation of glenoid fractures: a cadaver study to show potential applications of percutaneous screw insertion and anatomic risks. J Shoulder Elbow Surg 2011; 20 (03) 481-490
- 10 Branco PM, Marques TP, Pires L, Alonso R. Fixação percutânea da fractura da glenóide com apoio artroscópico, em disrupção tripla do complexo suspensor superior do ombro caso clínico sociedade portuguesa de ortopedia e traumatologia. Rev Port Ortop Traumatol 2018; 26 (03) 267-275