Superior approach for treating Ideberg III glenoid fractures with superior shoulder suspensory complex injury: A technical trick

摘要

Ideberg III glenoid fractures are rare and difficult in treating among shoulder fractures. With the development of research, a series of surgical approaches and methods were performed, such as anterior approach, traditional Judet approach, modified Judet approach, combined approach, acromion approach and so on. While these approaches still have some limitations in treatment of Ideberg III glenoid fractures with superior shoulder suspensory complex(SSSC) injury, for extensive soft tissue dissection, unsatisfactory exposure, difficult surgical intervention. In our case with Ideberg III glenoid fracture with acromioclavicular dislocation, superior approach was adopted during treatment of the scapula glenoid fracture and coracoclavicular ligament rupture perfectly. The result was satisfactory in accordance with 92 points by Constant-Murley score. We believe that individualized therapy should depend on the injury types, and superior approach would be a new valuable method for Ideberg III glenoid fractures with SSSC injury.