Clin Should Elbow.  2011 Jun;14(1):94-98.

Treatment of Anterior Glenoid Rim Fracture with Comminuted Fragment Using Arthroscopic Reduction and AO Headless Compression Screw Fixation: A Case Report

• Kim HS
• Koh IH
• Kim SG
• Chun YM
• Kim SJ
• Kang HJ

Abstract

PURPOSE
We present a case of anterior glenoid rim comminuted fracture that was treated with arthroscopic reduction and an AO headless compression screw (HCS) fixation.
MATERIALS AND METHODS
A 31-year old man complained of left shoulder pain after falling down on stairs. The anterior glenoid comminuted fragments were arthroscopically reduced. Fixation with an AO HCS was done after placement of 1.1 mm Kirschner wire as a guide pin through a standard cannulated anterosuperior portal.
RESULTS
Twelve months after the operation, union of the fracture was achieved and the range of motion was fully recovered. He did not complain of any discomfort during his activities of daily living.
CONCLUSION
An AO HCS had various screw sizes and this was good for fixation of a small glenoid fracture and a long drill bit and screw driver were useful for fixation of deep seated glenoid fracture. A short guide wire could be replaced by a 1.1 mm K-wire. An AO HCS was useful for fixation of an anterior glenoid rim comminuted fracture.

MeSH Terms

Arthroscopy
Fractures, Comminuted
Isothiocyanates
Mandrillus
Range of Motion, Articular
Shoulder Pain
Isothiocyanates