Arthroscopic repair of glenoid rim fractures: a ligamentotaxis surgical technique

ConclusionAcute antero-inferior glenoid rim fractures are uncommon but they are increasing in over 55  years population (frequently associated with cuff tear). Correct classification and treatment are necessary to achieve good results. The X-ray assessment includes the Neer’s trauma series and the CT study with PICO measurement of glenoid fragment size. Wrong treatment can lead to chronic instabi lity, degenerative joint disease and poor results. The arthroscopic repair with ligamentotaxis is a good solution and permits the treatment of the associated rotator cuff tear. Arthroscopic technique imposes a long learning curve. CT can be used to confirm the anatomic reduction and the healing of t he fracture but since it uses X-rays it must be reserved to comminuted fractures.
Source: Musculoskeletal Surgery - Category: Orthopaedics Source Type: research