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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 9/2009

01-09-2009 | Trauma Surgery

Results of open reconstruction of anterior glenoid rim fractures following shoulder dislocation

Authors: Michael Osti, Alexander Gohm, Karl Peter Benedetto

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2009

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Abstract

Introduction

The present study evaluates the clinical and radiological outcome following open reconstruction of avulsion fractures of the anterior glenoid rim in traumatic shoulder dislocation.

Material and methods

A total of 20 patients (mean age 49.4 years) were treated with open reduction and cannulated screw fixation. Eighteen patients were available for clinical and radiological follow-up after 3.1 (2.0–6.5) years.

Results

The average Constant Score was 78 and the average Rowe Score was 90 points. Documented complications were implant failure in one and neurological dysfunction in one patient. Radiographs revealed the bony fragment located in an unimproved displaced position in one patient and a progress in osteoarthritic changes in three patients. No recurrent subluxation or dislocation was observed.

Conclusion

Open reconstruction of glenoid rim fractures is a valuable procedure regarding medium-term subjective and objective outcome measures. Recurrent dislocation, glenoid defects and early onset of osteoarthritic degeneration can be avoided.
Literature
1.
Aston JW Jr, Gregory CF (1973) Dislocation of the shoulder with significant fracture of the glenoid. J Bone Joint Surg Am 55:1531–1533PubMed
2.
Bigliani LU, Newton PM, Steinmann SP, Connor PM, McIlveen SJ (1998) Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder. Am J Sports Med 26:41–45PubMed
3.
Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill–Sachs lesion. Arthroscopy 16:677–694. doi:10.​1053/​jars.​2000.​17715 PubMed
4.
Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164PubMed
5.
De Palma AF (1983) Fractures and fracture-dislocations of the shoulder girdle. In: Jacob RP, Kristainsen T, Mayo K et al (eds) Surgery of the shoulder. Lippincott, Philadelphia, pp 366–367
6.
Goss TP (1992) Fractures of the glenoid cavity. J Bone Joint Surg Am 74:299–305PubMed
7.
Itoi E, Lee S, Berglund LJ, Berge LL, An K (2000) The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am 82:35–46PubMed
8.
Ideberg R, Grevsten S, Larsson S (1995) Epidemiology of scapular fractures. Incidence and classification of 338 fractures. Acta Orthop Scand 66:395–397PubMedCrossRef
9.
Kavanagh BF, Bradway JK, Cofield RH (1993) Open reduction and internal fixation of displaced intra-articular fractures of the glenoid fossa. J Bone Joint Surg Am 75:479–484PubMed
10.
Kligman M, Roffman M (1998) Glenoid fracture: conservative treatment versus surgical treatment. J South Orthop Assoc 7:1–5PubMed
11.
12.
13.
14.
Rockwood CA, Matsen FA (1990) The scapula. In: Butters KP (ed) The shoulder. WB Saunders, Philadelphia, pp 345–353
15.
Rowe CR, Sakellarides HT (1961) Factors related to recurrence of anterior dislocation of the shoulder. Clin Orthop Relat Res 20:40–48
16.
Rowe CR, Zarins B (1981) Recurrent transient subluxation of the shoulder. J Bone Joint Surg Am 63:863–872PubMed
17.
18.
Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65:456–460PubMed
19.
20.
Sugaya H, Morishi J, Dohi M, Kon Y, Tsuchiya A (2003) Glenoid rim morphology in recurrent anterior glenohumeral instability. J Bone Joint Surg Am 85:878–884PubMed
21.
Metadata
Title
Results of open reconstruction of anterior glenoid rim fractures following shoulder dislocation
Authors
Michael Osti
Alexander Gohm
Karl Peter Benedetto
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 9/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-009-0828-6

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