Arthroscopic Repair of Glenoid Fractures Using Suture Anchors |
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| Affiliation: | 1. Sports Medicine Service, Department of Orthopaedic Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA;2. Orthopaedic Spine Service, Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA;1. Klinik für Orthopädie und Unfallchirurgie, Universität Heidelberg, Heidelberg, Germany;2. Fondren Orthopedic Group, Texas Orthopedic Hospital, Houston, TX, USA;3. Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany;4. Department of Shoulder and Elbow Surgery, ATOS Klinik Heidelberg, Heidelberg, Germany;5. Centre Orthopédique Santy, Lyon, France;1. Department of Orthopaedics and Traumatology, Paracelsus Medical University Salzburg, Salzburg, Austria;2. Institute of Tendon and Bone Regeneration, Spinal Cord Injury and Tissue Regeneration Center Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria;3. Department of Trauma Surgery, AUVA Trauma Center Meidling, Vienna, Austria |
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| Abstract: | Anterior glenoid fractures associated with glenohumeral instability are normally treated with open fixation of the fragment. However, recent technical development enables this procedure to be performed under arthroscopic control using screws or even suture anchors if the fragment is small enough. We developed a unique method of stabilizing a larger fragment with suture anchors and the use of a clear imaging method of three-dimensional computed tomography (3D-CT) with the humeral head eliminated, preoperatively and postoperatively. In the present article, we report a detailed method of arthroscopic stabilization for a consecutive series of 8 patients, with an average of 27% bone loss (fragment size) against the lower part of the circular glenoid portion, using suture anchors. |
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