Arthroscopic Screw Fixation Technique for Transverse Glenoid Fractures

Area of Science:

• Orthopedic Surgery
• Arthroscopy
• Traumatology

Background:

• Transverse glenoid fractures, specifically Ideberg type III with cranial coracoglenoidal fragments, can result in significant post-traumatic complications.
• Traditional open surgical approaches for these fractures are extensive and invasive.
• Arthroscopic reduction and screw osteosynthesis for these injuries present considerable technical challenges.

Purpose of the Study:

• To present a reproducible arthroscopic technique for managing dislocated transverse glenoid fractures (Ideberg type III).
• To demonstrate a simplified method for fracture reduction and screw osteosynthesis using standard arthroscopic portals.

Main Methods:

• A novel arthroscopic technique utilizing five standard portals was developed.
• A small, serrated reduction clamp was employed through the anterior portal for coracoid grasping and fracture reduction.
• Cranial screw osteosynthesis was performed without requiring an additional Neviaser portal.

Main Results:

• The described arthroscopic technique allows for simple and sufficient reduction of dislocated transverse glenoid fractures.
• Safe and effective screw osteosynthesis was achieved using the presented method.
• The technique avoids the need for extensive surgical approaches and specialized portals.

Conclusions:

• This reproducible arthroscopic technique offers a less invasive and technically manageable solution for Ideberg type III transverse glenoid fractures.
• The described approach facilitates accurate fracture reduction and secure screw fixation via standard portals.
• This method represents a viable alternative to open surgery for specific glenoid fracture patterns.