Management of a multifragmentary glenoid fracture : Case report of a two-stage surgical procedure

This article describes a multifragmentary glenoid fracture in a 65-year-old patient after falling from a height of 2 m. The accident led to complete Y‑shaped destruction of the glenohumeral joint with a large posteroinferior fragment and a large anteroinferior glenoid fragment. The treatment consist...

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Bibliographic Details
Published in:Unfallchirurgie (Heidelberg, Germany) Germany), 2023-05, Vol.126 (5), p.419
Main Authors: Tenfelde, Oliver, Karwatzke, Andreas, Kappel, Paola, Balke, Maurice, Wafaisade, Arasch
Format: Article
Language:ger
Subjects:
Aged
Arthroscopy - adverse effects
Fractures, Bone - diagnostic imaging
Humans
Joint Instability - etiology
Shoulder Dislocation - diagnostic imaging
Shoulder Joint - pathology
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Summary:This article describes a multifragmentary glenoid fracture in a 65-year-old patient after falling from a height of 2 m. The accident led to complete Y‑shaped destruction of the glenohumeral joint with a large posteroinferior fragment and a large anteroinferior glenoid fragment. The treatment consisted of a two-stage surgical procedure and a combination of open and arthroscopic techniques. First, open surgery of one fragment from the dorsal side was performed using screw osteosynthesis. Arthroscopic refixation of the anterior glenoid fragment (bony Bankart lesion) followed 4 weeks later using a guided Endobutton® technique (Smith & Nephew). Ideberg type 6 multifragmentary glenoid fractures are rare and should be treated surgically, especially with dislocated fragments, instability in the glenohumeral joint and in younger patients. Given the lack of evidence in the literature, individual surgical strategies are necessary.
ISSN:2731-703X
DOI:10.1007/s00113-022-01196-7