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Arthroscopic treatment of a one-fourth anteroinferior glenoid comminuted fracture-dislocation with concomitant three-part complex proximal humerus fracture in a middle-aged man: a case report

Authors
 Jin-Chul Oh  ;  Hyoung-Sik Kim  ;  Gi-Hoon Lee  ;  Ho-Jung Kang 
Citation
 ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, Vol.140(12) : 1901-1907, 2020-12 
Journal Title
 ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY 
ISSN
 0936-8051 
Issue Date
2020-12
Keywords
Anterior shoulder dislocation ; Arthroscopy ; Glenoid fracture ; Proximal humerus fracture ; Screw fixation
Abstract
Introduction: Proximal humeral fracture-dislocations can occur in high-energy traumas. This injury can be accompanied by a glenoid fracture; however, it is a rare type of complex injury in patients aged under 60 years. Materials and methods: A 53-year-old man presented with a three-part fracture-dislocation of the proximal humerus and a severely comminuted glenoid fracture. For the glenohumeral dislocation and proximal humeral fracture, we performed closed reduction using a threaded Steinman pin and fixation with percutaneous cannulated screws. Using arthroscopy, while maintaining humeral traction with the Steinman pin, the intra-articular glenoid fragments were reduced and then fixed with a buttressing headless screw and one suture anchor. After a 6-week immobilization with a shoulder spica cast, rehabilitation was initiated. Results: We confirmed bony union of the fracture sites after 6 months post-surgery. The patient showed excellent clinical outcomes with a nearly full range of motion without instability CONCLUSIONS: We reported a successful outcome for a complex proximal humeral fracture involving the glenoid using closed reduction and fixation for the proximal humeral fracture and arthroscopic reduction and fixation for the comminuted anteroinferior glenoid fracture.
Full Text
https://link.springer.com/article/10.1007%2Fs00402-020-03402-w
DOI
10.1007/s00402-020-03402-w
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Kim, Hyoung Sik(김형식) ORCID logo https://orcid.org/0000-0002-9303-4116
Oh, Jin-Cheol(오진철)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181484
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