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Arthroscopic Management of Glenoid Fractures

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Shoulder Arthroscopy

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Abstract

Glenoid fractures represent approximately 10–20% of scapula fractures, and relatively, little is known about their mechanism, fracture pattern, and optimal treatment strategies. If untreated, displaced glenoid fractures may lead to persistent pain, malunion, development of early glenohumeral osteoarthritis, and chronic shoulder instability. It is therefore of utmost importance to properly diagnose, analyze, and treat these fractures. Computed tomography (CT) has improved the quality in the evaluation of glenoid fractures and has proven to be a very useful tool to diagnose the extent of the lesion and the relationship of the humeral head with the main fragment of the glenoid. Arthroscopic surgery has made considerable progress in the treatment of fractures of the anterior glenoid edge with a reduction in complications and reoperation rates. This arthroscopic approach is used in combination with percutaneous fixation with screws. However, it should not be forgotten that the open surgical approach is still necessary for some fractures.

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Author information

Authors and Affiliations

  1. Arthrosport, IMED Hospital, Elche, Spain

    Nestor Zurita

  2. Arthrosport, Zaragoza, Spain

    Pablo Carnero & Angel Calvo

  3. Elche General Hospital, Elche, Spain

    Carlos Verdu

Authors
  1. Nestor Zurita
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  2. Pablo Carnero
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  3. Carlos Verdu
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  4. Angel Calvo
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Editor information

Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

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© 2023 The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature

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Zurita, N., Carnero, P., Verdu, C., Calvo, A. (2023). Arthroscopic Management of Glenoid Fractures. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_60

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_60

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-66867-2

  • Online ISBN: 978-3-662-66868-9

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