Summary
arthroscopic percutaneous osteosynthesis in the treatment of Ideberg type Ⅲ glenoid fractures
Abstract
Objective
To explore the treatment of Ideberg type Ⅲ glenoid fractures with arthroscopic percutaneous osteosynthesis.
Methods
from February 2010 to February 2014 ,8 cases of Ideberg type Ⅲ glenoid fractures were treated with arthroscopic management
Results
8 patients with Ideberg Ⅲ fracture were followed up 10.1months, The mean Constant score was (91. 9 ± 5)% in compare with that of the contralateral shoulders The mean UCLA score was(91. 9 ± 5)%points. At the latest visiting,the mean anterior flexion of affected shoulder was(150 ± 21. 4)° ,the mean external rotation was (150 ± 21. 4)° and the mean internal rotation were reached to T9 ± 3 respectively the follow up stability and shoulder joint function recovery, 6 months after surgery, all raised shoulder abduction activity of normal, 1 cases of shoulder external rotation activity reached contralateral 95%. after 3, 6. The December review of the shoulder joint X-ray and CT in 8 cases with bone block position and good healing, the average healing time was 4.2 months, all cases healed
Conclusion
Ideberg type Ⅲ glenoid fractures can be successfully treated by arthroscopic percutaneous osteosynthesis and internal fixation through an anterior approach. The glenoid fractures and the injured SCCC should be treated simultaneously