Open reduction and internal fixation of Ideberg type IA glenoid fractures: Tricks, pearls, and potential pitfalls based on a retrospective cohort of 33 patients focusing on the rehabilitation protocol

Giordano, Vincenzo; Pires, Robinson Esteves Santos; Labronici, Pedro José; Vieira, Igor; Souza, Felipe Serrão de; Sassine, Tannous Jorge; Mendes, Adriano Fernando; Freitas, Anderson

doi:10.1007/s00590-022-03389-7

Cited by 5 publications

(2 citation statements)

References 34 publications

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“…They found no consensus on the rehabilitation of these injuries as well as lack of uniformity in terms of the period of immobilization after surgery (67.2% of surgeons keep a sling for 3 to 6 weeks) and the return to sports activity. In a recent publication, Giordano et al 35 introduced an accelerated postoperative rehabilitation protocol for anterior rim glenoid fractures treated with ORIF. Rehabilitation began on the first postoperative day, including passive external rotation exercises and active-assisted flexion, adduction, and abduction exercises as tolerated.…”

Section: Brazilmentioning

confidence: 99%

Trauma center rehabilitation systems in Latin America

Padilla-Rojas,

Tamayo-Cosio,

Garín-Zertuche

et al. 2024

OTA International

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Trauma is a leading cause of mortality and morbidity worldwide with high rates of disability in survivors. With improvements in care, rehabilitation of the trauma patient is a cornerstone to reducing sequelae. A lack of well-established hospital rehabilitation units and standardized protocols for managing posttraumatic injuries is a common problem in Latin American countries. Future studies should seek to understand the barriers and gaps in care so that consensus and ultimately best practice guidelines can be developed and included in rehabilitation programs throughout trauma centers in Latin America.

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Section: Brazilmentioning

confidence: 99%

Trauma center rehabilitation systems in Latin America

Padilla-Rojas,

Tamayo-Cosio,

Garín-Zertuche

et al. 2024

OTA International

Self Cite

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“…However, the open approaches require extensive soft-tissue dissection and pose the risk of neurovascular structures' injury. Besides, a single approach could not always allow sufficient and wide exposure of the entire glenoid cavity and may be correlated with poor visualization and inadequate fracture reduction [23][24][25][26].…”

Section: Introductionmentioning

confidence: 99%

The Role of Arthroscopy in Contemporary Glenoid Fossa Fracture Fixation

Chalidis,

Papadopoulos,

Papadopoulos

et al. 2024

Diagnostics

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Glenoid fossa fractures are rare injuries accounting for 10 to 29% of all intra-articular scapula fractures. They are usually the result of high-energy trauma, and concomitant injuries are not uncommon. Patients with glenoid fractures are admitted with shoulder pain and restricted range of motion. Although shoulder plain radiographs could establish the diagnosis, a computed tomography scan is necessary to adequately define the fracture pattern and characteristics. The most commonly used classification system is that of Ideberg (modified by Goss), which includes five glenoid fossa fracture types according to the location, extension, and complexity of the lesion. Articular surface displacement and step-off are the most important factors that should be taken under consideration when deciding for conservative or surgical management. Operative treatment includes open reduction and internal fixation through a posterior or anterior approach depending on fracture morphology and displacement. However, open surgical techniques are related to extensive soft-tissue disruption, risk of neurovascular injury, and inadequate exposure of the entire glenoid cavity. Introduction of arthroscopy could facilitate better visualization of the glenoid articular surface and improved fracture reduction. However, it is a technically demanding procedure with many challenges and pitfalls. The aim of this review is to summarize the current evidence regarding the treatment of glenoid fossa fractures and present the beneficial effect of arthroscopy in improving the quality of fracture fixation and overall functional outcomes.

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