Arthroscopic Reduction with Endobutton Fixation for Glenoid Fracture

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Glenoid rim fractures associated with glenohumeral dislocation often cause persistent shoulder instability.
• Traditional open reduction and internal fixation for displaced intra-articular glenoid fractures present surgical challenges and may not address soft-tissue injuries.
• Minimally invasive arthroscopic techniques are emerging for managing these complex fractures.

Purpose of the Study:

• To report a case of arthroscopic reduction and internal fixation of a glenoid fracture.
• To evaluate the clinical and radiological outcomes of this minimally invasive approach.
• To highlight the feasibility of using Endobuttons for glenoid fracture fixation.

Main Methods:

• A case of acute glenoid rim fracture with shoulder instability was treated.
• Arthroscopic reduction of the fractured glenoid rim was performed.
• Internal fixation was achieved using Endobuttons.

Main Results:

• The arthroscopic procedure allowed for anatomic reduction of the glenoid fracture.
• Successful internal fixation was achieved with Endobuttons.
• Clinical and radiological assessments at 18 months demonstrated favorable outcomes.

Conclusions:

• Arthroscopic reduction and fixation is a viable and effective treatment for glenoid rim fractures.
• This minimally invasive technique can provide stable fixation and good functional recovery.
• Endobutton fixation represents a useful option for arthroscopic management of glenoid fractures.