Browse
Submit Data
Databases
API
Help

Dataset Information

28 Views

0 Connections

0 Citations

0 Reanalyses

0 Downloads

Omics score: 0

Arthroscopic Reduction and Fixation of Transverse Intra-articular Glenoid Fractures With Scapular Extension.

ABSTRACT: The most common procedure to address transverse glenoid fractures that are characterized by intra-articular step-off or gapping is open reduction and internal fixation. Disadvantages of open surgery are delay in regaining full range of motion, increased approach morbidity, neurovascular complications, and the need for capsulotomy, which delays healing and increases the risk of stiffness. An arthroscopically assisted fracture fixation, as described in this article, is characterized by better visualization of the glenoid articular surface and reduction of the intra-articular fragments under direct vision, which diminishes the chances of residual step-off after fixation. Furthermore, arthroscopic fixation provides the advantages of minimal surgical trauma, which speeds up the recovery time, decreased morbidity as there is less blood loss compared with the open technique, lower chance of neurologic injury as there is less dissection around the spinoglenoid or suprascapular notch, less trauma to the joint capsule, and lower chances of stiffness and capsulorrhaphy arthropathy.

SUBMITTER: Papadonikolakis A

PROVIDER: S-EPMC5495986 | biostudies-literature |

REPOSITORIES: biostudies-literature

ACCESS DATA

Json Xml

Similar Datasets

Arthroscopic Screw Fixation Technique for Transverse Glenoid Fractures.

Project description:Transverse glenoid fractures with a cranial coracoglenoidal fragment (Ideberg type III) can lead to detrimental post-traumatic sequelae. Open surgery requires an extensive surgical approach. Arthroscopic procedures are highly challenging with respect to both fracture reduction and screw osteosynthesis. We present a reproducible arthroscopic technique for a dislocated transverse glenoid fracture using 5 standard portals. Grasping the coracoid with a small, serrated reduction clamp through the anterior portal allows simple and sufficient reduction. Safe screw osteosynthesis can then be performed from cranially without the need to create a Neviaser portal.

| S-EPMC8626685 | biostudies-literature

Arthroscopic Reduction and Internal Fixation of an Inferior Glenoid Fracture With Scapular Extension (Ideberg V).

Project description:Arthroscopic reduction and internal fixation of glenoid fractures have been well described, especially for glenoid rim (Bankart) fractures, as well as for scapular body fractures with extensions into the articular surface. This approach has the advantage of decreasing comorbidities associated with a standard open approach, but it can be technically challenging and may not be amenable to all fracture patterns. Arthroscopic fixation of scapular fractures incorporating a transverse pattern along the inferior aspect of the glenoid is particularly challenging because of difficulty in accessing this space. We detail the use of a posteroinferior arthroscopic portal for fracture reduction and hardware placement in a scapular fracture with inferior glenoid involvement.

| S-EPMC4886700 | biostudies-other

Arthroscopic Fixation of Glenoid Rim Fractures After Reduction by Labral Repair.

Project description:Surgical fixation of displaced, intra-articular glenoid fractures represents a clinical challenge. These fractures have traditionally been treated through open approaches to the glenohumeral joint; however, the morbidity associated with open surgery may be reduced with arthroscopic techniques. Previously described arthroscopic methods commonly use clamps and/or Kirschner wires to obtain and maintain provisional fixation. We describe our technique for minimally invasive, arthroscopic fixation of glenoid rim fractures using labral repair as an indirect reduction maneuver, followed by final fixation with an extra-articular screw. This method is safe, efficient, and reliable, and it can be used to approach a variety of intra-articular glenoid fractures.

| S-EPMC4947900 | biostudies-other

Arthroscopic-Assisted Fixation of Ideberg Type III Glenoid Fractures.

Project description:Operative treatment of scapular fractures with extension into the glenoid can be a challenging clinical scenario. Though traditionally addressed in an open fashion, the morbidity of this approach, complemented by advancements in arthroscopic technique and instrumentation, has led to increasing use of arthroscopic-assisted fixation. We describe our technique, including pearls and pitfalls, for minimally invasive fixation of Ideberg type III glenoid fractures. This approach minimizes morbidity, allows optimal visualization and reduction, and provides good functional results.

| S-EPMC4454791 | biostudies-literature

A Percutaneous Technique for Reduction and Internal Fixation of Displaced Intra-Articular Calcaneal Fractures.

Project description:IntroductionA retrospective cohort study demonstrated that, in comparison with open reduction and internal fixation through an extensile lateral approach, our percutaneous technique for reduction and internal fixation of displaced intra-articular calcaneal fractures decreases the rate of complications and achieves and maintains extra-articular fracture reductions just as well.Step 1 patient positioning and imagingPosition the patient correctly to obtain excellent fluoroscopic views, which are key to the procedure.Step 2 fracture reductionThe techniques for reducing and fixing joint depression and tongue-type calcaneal fractures differ and will be described separately.Step 3 screw fixationIdentify screw entry points and paths using fluoroscopic images, and confirm the final positions with c-arm imaging.Step 4 postoperative managementApply a splint; then obtain postoperative images to confirm fracture reduction and screw placement.Results & preop/postop imagesThe results of percutaneous reduction of displaced intra-articular calcaneal fractures in seventy-nine patients with a total of eighty-three fractures were compared with those obtained by another surgeon using the extensile lateral approach.What to watch forIndicationsContraindicationsPitfalls & Challenges.

| S-EPMC8343976 | biostudies-literature

Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach.

Project description:IntroductionAlthough displaced intra-articular calcaneal fractures were historically treated nonoperatively because of unreliable outcomes, they are now commonly treated with open reduction and internal fixation (ORIF).Step 1 preoperative planning and operative setupCoronal images are most helpful.Step 2 incision and soft-tissue managementElevate the flap using the "no-touch" technique to minimize wound complications.Step 3 reduce posterior facet and perform provisional stabilizationAchieve anatomic reduction of the medial calcaneal wall before proceeding with the remainder of the fracture reduction.Step 4 apply lag fixation and a lateral neutralization plateUse a traditional nonlocking plate and be sure that at least one lag screw achieves purchase.Step 5 close woundUse the "no-touch" technique, with the goal of tension-free wound closure.Step 6 postoperative careWatch closely for drainage or delayed healing.Results & preop/postop imagesORIF is a viable treatment option for displaced intra-articular calcaneal fractures without contraindication for older patients.What to watch forIndicationsContraindicationsPitfalls & Challenges.

| S-EPMC8343974 | biostudies-literature

Arthroscopic Anterior Glenoid Reconstruction Using a Distal Tibial Allograft Positioned With an Intra-Articular Guide and Secured With Double-Button Fixation.

Project description:Recurrent shoulder instability and its role in bone loss from the anterior glenoid is well recognized throughout the literature. This technique paper presents an all-arthroscopic technique that uses distal tibial allograft and double-button suture fixation to address anterior recurrent shoulder instability. With the patient in the lateral decubitus position, we use the posterior portal to position the double-barrel drill guide tangential to the face of the glenoid, while viewing through the anterosuperolateral portal. We then use the "bullets," which are made through two percutaneous posterior skin incisions of the double-barreled drill. This guide ensures parallel drill tunnels are created 5 mm medial to the glenoid articular surface and 1 cm apart, minimizing risk to the suprascapular nerve caused by a straying medial. We prepare a bone block from allograft distal tibia and place two drill holes to match those drilled in the glenoid vault. The allograft is then shuttled arthroscopically using looped passing wires. Once the final position is confirmed, a tensiometer is used to tension the graft in place. We then reattach the labrum to the native glenoid rim. Our technique creates a reproducible, anatomic, glenoid surface reconstruction for anterior glenoid bone loss in recurrent instability.

| S-EPMC9244638 | biostudies-literature

Anatomic Reduction and Fixation for Glenoid Fractures: The Kissing Anchor Technique.

Project description:Up to one fifth of glenoid fractures are intra-articular and associated with recurrent anterior dislocation. Surgery is often the indicated treatment, and as with many other articular fractures, it aims for a perfectly congruent and flush reconstruction of the articular surface to avoid the onset of secondary degenerative joint diseases. The purpose of this paper is to describe a reproducible, simple arthroscopic technique that uses suture anchors to fix the glenoid fragment with a strong and stable construct called "kissing anchors." This method provides the advantages of both direct and indirect stabilizing effects. It applies 2 anchors, one inside the fragment and the other inside the fracture bed, to stabilize and fix the fragment, and is adequately associated with labrum refixation, which provides the construct with increased stability. However, a surgeon willing to apply it should already be confident with basic shoulder arthroscopy and should have performed an appropriate amount of arthroscopic shoulder stabilizations.

| S-EPMC7451734 | biostudies-literature

Arthroscopic Reduction and Stable Fixation of an Anterior Glenoid Fracture With 4 Buttons.

Project description:An arthroscopic technique for the reduction and stable fixation of an articular glenoid fracture with a 2-button compression system, originally designed for the treatment of shoulder instability with bone deficiency in the anterior glenoid, is presented. This technique allows direct visualization of the joint, reduction of the fracture, precise placement of the buttons according to the fracture line, and stable fixation. It is a safe and reproducible technique, using the standard shoulder arthroscopy portals.

| S-EPMC7528627 | biostudies-literature

ORV Arthroscopic Reduction and Internal Fixation of Tibial Eminence Fractures.

Project description:Tibial eminence fractures are an uncommon but well-described avulsion of the anterior cruciate ligament. Treatment principles are based on the amount and pattern of fracture displacement. Management has evolved from closed reduction and immobilization to arthroscopic reduction and internal fixation followed by early rehabilitation. Various fixation methods have evolved, ranging from arthroscopic reduction and percutaneous screw fixation to arthroscopic suture repair. We present a technique for arthroscopic reduction and internal fixation using a cannulated drill bit and high-strength suture. This technique facilitates anatomic reduction with uncomplicated tunnel placement and suture passing in an effort to allow strong fixation and early rehabilitation.

| S-EPMC3882680 | biostudies-literature

OmicsDI is part of the ELIXIR infrastructure

OmicsDI is an Elixir interoperability service. Learn more ›

Tweets

OmicsDI Databases

PRIDE
PeptideAtlas
MassIVE
JPOST Repository
Physiome Model Repository

EGA
EVA
ENA
LINCS
PAXDB
Cell Collective

MetaboLights
Metabolomics Workbench
MetabolomeExpress
GNPS
BioModels
FAIRDOMHub

ArrayExpress
dbGaP
ExpressionAtlas
GEO
NODE

Information

Databases
Help
API
Contact us
Code on GitHub
Terms of use
Submit Data