Calvo Emilio, Gutiérrez-Zúñiga Daniela, Lafosse Thibault
Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.
Alps Surgery Institute, Clinique Generale d'Annecy, Annecy, France.
Arthrosc Tech. 2024 Nov 8;14(4):103293. doi: 10.1016/j.eats.2024.103293. eCollection 2025 Apr.
Glenoid fractures pose challenges in achieving optimal outcomes with conservative treatment, especially when the fracture is large or severely displaced. To address this, various surgical techniques have been developed. The arthroscopic Latarjet has standardized the approach to the anteroinferior region of the coracoid and glenoid rim. This Technical Note describes an adaptation for managing large, displaced anterior glenoid rim fractures. This approach uses a subscapularis split for horizontal screw orientation, enhancing bone purchase and stability, unlike other arthroscopic fixation techniques through the rotator interval that results in oblique screw positioning. The technique allows for arthroscopic control of fracture reduction and provides stable fixation, offering a promising alternative for treating these challenging fractures.
肩胛盂骨折在采用保守治疗以实现最佳治疗效果方面存在挑战，尤其是当骨折块较大或严重移位时。为解决这一问题，已开发出多种手术技术。关节镜下Latarjet手术已使喙突和肩胛盂边缘前下区域的手术入路标准化。本技术说明介绍了一种用于处理大型、移位的肩胛盂前边缘骨折的改良方法。与其他通过旋转间隙进行关节镜固定技术导致螺钉呈斜向定位不同，该方法采用肩胛下肌劈开以实现水平螺钉置入方向，从而增强骨质把持力和稳定性。该技术可在关节镜下控制骨折复位并提供稳定固定，为治疗这些具有挑战性的骨折提供了一种有前景的替代方法。
