Arthroscopic Screw Fixation Technique for Transverse Glenoid Fractures.

Wafaisade, Arasch; Kappel, Paola; Pfeiffer, Thomas R; Lambert, Christophe; Banerjee, Marc · Arthrosc Tech · 2021

case_series · Level IV

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Abstract

Transverse glenoid fractures with a cranial coracoglenoidal fragment (Ideberg type III) can lead to detrimental post-traumatic sequelae. Open surgery requires an extensive surgical approach. Arthroscopic procedures are highly challenging with respect to both fracture reduction and screw osteosynthesis. We present a reproducible arthroscopic technique for a dislocated transverse glenoid fracture using 5 standard portals. Grasping the coracoid with a small, serrated reduction clamp through the anterior portal allows simple and sufficient reduction. Safe screw osteosynthesis can then be performed from cranially without the need to create a Neviaser portal.