Complex proximal humerus fracture with associated glenoid fracture – Solution with reverse shoulder arthroplasty and glenoid fixation

Deltoid Takedown approach to Ideberg VI/AO F2(4) glenoid fossa fractures

“… 8 There are reported cases of acute reverse shoulder replacements as an alternative to ORIF for GFF but these were in older patients, with the youngest of these reported cases being 63 years old. 5 , 6 , 18 Arthroscopic-assisted reduction and internal fixation (ARIF) and minimally invasive surgery (MIS) have been used for GFF but in the published studies majority of patients treated this way had simpler Ideberg-Goss type I GFF. 7 , 17 ORIF has largely utilized a posterior Judet or modified Judet approach, with concurrent anterior deltopectoral approach as required; however, in a cadaveric study, Ao et al 2 showed that the combined approach could still not access the posterosuperior zone of the glenoid.…”

Coracoid osteotomy in anterior fracture-dislocation with concomitant bony Bankart: a way to safely retrieve the humeral head and provide instant stability (acute Latarjet)

“…Especially in young, muscular patients, safe access to and soft tissue-friendly retrieval of the humeral head is both challenging and of vital importance to achieve a reasonable prognosis 17 . In elderly patients, the choice would readily be to perform a fracture reverse shoulder arthroplasty in these cases 1,5,11,17,19,28 . However, in young, active patients, we are prompted to perform a humeral head-preserving reconstruction.…”

“… 17 In elderly patients, the choice would readily be to perform a fracture reverse shoulder arthroplasty in these cases. 1 , 5 , 11 , 17 , 19 , 28 However, in young, active patients, we are prompted to perform a humeral head-preserving reconstruction.…”