肩甲骨関節窩骨折 Ideberg type V に対して鏡視下手術を施行した１症例

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Recent cases of glenoid fracture treated by arthroscopy have been reported. We experienced a rare case of glenoid fracture (Ideberg type V) which was treated with an arthroscopic procedure. Surgical treatment was required for accurate joint surface reduction and fixation to avoid further arthrosis and instability. Open procedures have been performed in previous case reports; however, we chose an arthroscopic technique.<BR>A 54-year-old man was injured in a traffic accident, sustaining a type V glenoid fracture as classified by Ideberg. Arthroscopic surgery was performed seven days after the injury. A cartilage defect was observed posteroinferior to the glenoid during arthroscopy. The bony fragment was lifted with Kirschner wire (K-wire) and the subchondral bone was supported and fixed using three percutaneous K-wires during the arthroscopic procedure. The K-wires were removed 12 weeks after surgery.<BR>He returned to his job as a teacher in one year. The clinical result was satisfactory (Japanese Orthopaedics Association score, 93 points). He underwent rehabilitation during the year following surgery.<BR>Open procedures have historically been reported for the surgical stabilization of glenoid fracture. Arthroscopic repair can be conducted with more accurate reduction, and fixation and is less invasive when compared with open repair. Although most of the published case reports have referred to Ideberg type I, the arthroscopic repair was also very effective for Ideberg type V. Inconclusion arthroscopic surgery was suitable for this case of Ideberg type V glenoid fracture and a good postoperative result was achieved.

肩甲骨関節窩骨折 Ideberg type V に対して鏡視下手術を施行した１症例

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