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Clin Shoulder Elbow > Volume 14(1); 2011 > Article
Clinics in Shoulder and Elbow 2011;14(1):94-98.
DOI: https://doi.org/10.5397/CiSE.2011.14.1.094    Published online June 30, 2011.
Treatment of Anterior Glenoid Rim Fracture with Comminuted Fragment Using Arthroscopic Reduction and AO Headless Compression Screw Fixation: A Case Report
Hyung Sik Kim, Il Hyun Koh, Sung Guk Kim, Yong Min Chun, Sung Jae Kim, Ho Jung Kang
Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea. kangho56@yuhs.ac.kr
관절경하 AO 무두 압박 나사를 이용한 견갑골 전방 관절와 분쇄 골절의 치료 - 증례 보고 -
김형식·고일현·김성국·천용민·김성재·강호정
연세대학교 의과대학 정형외과학교실
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.
Key Words: Glenoid rim fracture; Arthroscopic surgery; Headless compression screw
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