Long-term Outcomes 18 Years after the Arthroscopic Fixation of a Scapular Articular Fracture: A Case Report.

Abstract

Reduction and fixation of glenoid cavity fractures using arthroscopy cause little surgical trauma, allowing the complementary diagnosis and treatment of potentially associated injuries (either capsular, ligamentous or tendon lesions) with promising outcomes. The authors report a case of Ideberg type III glenoid fracture with a distal clavicle fracture which underwent percutaneous reduction and bone fixation (with Kirschner wires) using an arthroscopic technique. We describe the procedure and the outcomes after 18 years of follow-up. The clinical assessment included the functional University of California at Los Angeles (UCLA) score criteria and radiographic studies. The result was excellent/satisfactory, with the patient asymptomatic over time and without relevant radiographic changes. Although the management of glenoid fractures by arthroscopy remains evolving, it is a good treatment alternative to the open approach, especially in less complex fractures.