Jia X, Zhou FL, Zhu YH, Jin DJ, Liu WX, Yang ZC, Liu RP. Treatment of lower part of glenoid fractures through a novel axillary approach: A case report. World J Clin Cases 2021; 9(25): 7558-7563 [PMID: 34616826 DOI: 10.12998/wjcc.v9.i25.7558]
Corresponding Author of This Article
Rui-Ping Liu, MD, Chief Physician, Department of Orthopedics, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, No. 68 Gehu Middle Road, Changzhou 213000, Jiangsu Province, China. liuruiping216@yahoo.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xing Jia, Fu-Lin Zhou, Yu-Hua Zhu, Dan-Jie Jin, Wei-Xi Liu, Zhi-Cheng Yang, Rui-Ping Liu, Department of Orthopaedics, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou 213000, Jiangsu Province, China
Xing Jia, The Graduate School of Dalian Medical University, Dalian Medical University, Dalian 116044, Liaoning Province, China
Author contributions: Jia X, Zhou FL, Zhu YH, Jin DJ, and Liu RP were clinicians involved in the diagnosis, management, treatment and follow-up of patient; Jia X and Zhou FL reviewed the literature and contributed to the drafting of the manuscript; Yang ZC and Liu RP assisted in reviewing the literature and drafting the manuscript; Jia X, Zhou FL and Liu RP analyzed and explained the imaging results; Liu WX helped us to draw a sketch to vividly describe the operation technique; Liu RP was responsible for design and revision of the relevant knowledge content of the manuscript; all authors approved the final version of the paper before submission.
Informed consent statement: The patient provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rui-Ping Liu, MD, Chief Physician, Department of Orthopedics, The Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, No. 68 Gehu Middle Road, Changzhou 213000, Jiangsu Province, China. liuruiping216@yahoo.com
Received: March 2, 2021 Peer-review started: March 2, 2021 First decision: April 29, 2021 Revised: May 9, 2021 Accepted: July 2, 2021 Article in press: July 2, 2021 Published online: September 6, 2021 Processing time: 181 Days and 11.7 Hours
Abstract
BACKGROUND
Based on the location and size of the fracture block, open reduction and internal fixation can be employed or assisted for shoulder arthroscopy in the treatment of glenoid fractures. However, the treatment of lower part of glenoid fractures through a novel axillary approach has not been reported so far.
CASE SUMMARY
A 22-year-old right-handed man was transferred to our outpatient clinic because of right shoulder injury during a traffic accident. X-ray examination after admission suggested the fracture of the lower part of the right glenoid and an ipiselial proximal humeral fracture. Three-dimensional (3D) computed tomography (CT) further suggested that the size of the fracture block of the lower part of the right glenoid was 3.4 mm × 16.2 mm. The patient was diagnosed as the fracture of the lower part of the glenoid, also known as bony Bankart lesion without shoulder dislocation. After general anesthesia, the patient was surgically treated with the open reduction internal fixation through a novel axillary approach. 3D CT and shoulder joint function were reexamined at 12 mo of follow-up, showing acceptable recovery.
CONCLUSION
This case report describes a novel axillary approach adopted in an open reduction with cannulated screw and wire anchor internal fixation. After a follow-up for more than 12 mo, 3D CT and shoulder joint function examinations display a good recovery.
Core Tip: Based on the location and size of the fracture block, open reduction and internal fixation can be employed or assisted for shoulder arthroscopy in the treatment of glenoid fractures. However, the treatment of lower part of glenoid fractures through a novel axillary approach has not been reported so far. This study reports a case with lower part of glenoid fracture and treated with open reduction with cannulated screw and wire anchor internal fixation through a novel axillary approach. After a follow-up for more than 12 mo, reexaminations of three-dimensional computed tomography and shoulder joint function display a good recovery.
