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Transcoracoid Screw Fixation for Ideberg Type 3 Glenoid Fracture: Surgical Technique

INTRODUCTION: Intra-articular glenoid fracture is rare injury and conservatively treated significantly displaced intra-articular glenoid fractures have been found to have poor functional outcomes, and thus most are now treated with open reduction and internal fixation as this allows accurate reducti...

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Detalles Bibliográficos
Autores principales: Chouhan, Varun, Gupta, Atul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298710/
https://www.ncbi.nlm.nih.gov/pubmed/30584520
http://dx.doi.org/10.13107/jocr.2250-0685.1112
Descripción
Sumario:INTRODUCTION: Intra-articular glenoid fracture is rare injury and conservatively treated significantly displaced intra-articular glenoid fractures have been found to have poor functional outcomes, and thus most are now treated with open reduction and internal fixation as this allows accurate reduction of the articular surface under direct vision. [8]. Here, we describe the case of an Ideberg Type 3 fracture treated with open reduction and internal fixation by cannulated cancellous screw through coracoid process in which it is used as a reduction tool and as a guide. CASE REPORT: We are presenting our case where a 29-year-old man presented with the left Type 3 intra-articular glenoid fracture and proximal humerus fracture. The fracture was treated with open reduction and transcoracoid internal fixation by cancellous cannulated screw system, with a follow-up of 3 months. CONCLUSION: Intra-articular glenoid fractures are uncommon and difficult to treat. Open reduction and internal fixation in the presence of associated fractures using coracoid as a guide is very simple and safe technique.