Distractor Application and Dry Arthroscopy to Improve Articular Visualization During Scapula Fracture Surgery Via a Posterior Approach

Authors

• Augustine M Saiz
• Ryan Mayer
• Patrick J Kellam
• Blake J Schultz
• Bryce Cunningham
• Stephen J Warner
• Andrew Choo

Language

English

Publication Date

11-1-2023

Journal

Journal of Orthopaedic Trauma

DOI

10.1097/BOT.0000000000002550

PMID

36728980

Abstract

Intra-articular glenoid displacement is an indication for open reduction and internal fixation of scapular fractures. However, direct visualization of the glenoid is limited, and articular reductions are typically performed and assessed using extra-articular cortical reduction reads and fluoroscopic imaging. In this technique, we describe the application of a distractor for direct visualization of the glenoid articular surface. In this way, anatomic reduction of the glenoid articular surface can be assessed and achieved. In addition, we discuss the use of a portable, dry arthroscopy when needed. This technique has resulted in good-to-excellent articular reductions by adjusting extra-articular reads that seemed adequate before intra-articular visualization. This technique is safe, requires minimal extra set-up or instruments, and results in good-to-excellent articular reductions.

Keywords

Humans, Scapula, Arthroscopy, Fractures, Bone, Fracture Fixation, Internal, Male, Treatment Outcome

Published Open-Access

yes

Recommended Citation

Saiz, Augustine M; Mayer, Ryan; Kellam, Patrick J; et al., "Distractor Application and Dry Arthroscopy to Improve Articular Visualization During Scapula Fracture Surgery Via a Posterior Approach" (2023). Faculty, Staff and Student Publications. 3969.
https://digitalcommons.library.tmc.edu/uthmed_docs/3969