Service de chirurgie orthopédique et traumatologie, Hôpital d'Instruction des Armées Percy, Henri Barbusse, Clamart, France.
Tech Hand Up Extrem Surg. 2022 Sep 1;26(3):188-192. doi: 10.1097/BTH.0000000000000383.
Anterior glenoid rim fracture is a consequence of the humeral head impacting the glenoid fossa. The management of large glenoid fractures involving more than 20% of the articulating glenoid requires surgical treatment. The 2 main techniques are open reduction internal fixation (ORIF) by screws and arthroscopic treatment using suture anchors or transcutaneous screws. Next to the technical equipment, a surgeon requires extensive experience to achieve good results with the arthroscopic technique. The main disadvantage using the ORIF technique is the detachment of the subscapularis muscle, which is often criticized for causing functional deficits of the subscapularis. Our study demonstrates the feasibility of the ORIF technique through a deltopectoral approach and splitting of the subscapularis. To our knowledge, subscapularis splitting has never been described to treat glenoid fractures.
前肩胛盂缘骨折是肱骨头撞击肩胛盂的结果。涉及超过 20%关节盂的大肩胛盂骨折需要手术治疗。两种主要技术是通过螺钉的切开复位内固定（ORIF）和使用缝合锚或经皮螺钉的关节镜治疗。除了技术设备外，外科医生还需要丰富的经验才能通过关节镜技术取得良好的效果。使用 ORIF 技术的主要缺点是肩胛下肌的分离，这经常因导致肩胛下肌功能缺陷而受到批评。我们的研究通过三角肌胸大肌入路和肩胛下肌劈开证明了 ORIF 技术的可行性。据我们所知，肩胛下肌劈开从未被描述用于治疗肩胛盂骨折。
