Arthroscopic double-row suture anchor fixation of minimally displaced greater tuberosity fractures.
In cases of displaced greater tuberosity fractures, treatments by arthroscopic-assisted reduction and percutaneous screw fixation have been reported. However, in cases in which there is a comminuted fracture or a minimally displaced fracture combined with concomitant lesions such as rotator cuff tear or labral pathology, it is difficult to reduce the fracture and to treat other pathologies by use of a percutaneous screw. Recently, many surgeons have used the double-row repair method in rotator cuff repair, which provides a tendon-bone interface better suited for biologic healing and restoring normal anatomy. In accordance with this method, we used the arthroscopic technique of double-row suture anchor fixation for a minimally displaced greater tuberosity fracture without additional incision. Initially, debridement was performed on the fracture surface by use of a shaver, and the medial-row anchor was inserted through the anterior portal or the intact cuff. Two lateral-row anchors were inserted just anterior and posterior to the lower margin of the fractured fragment under C-arm guidance. The medial-row sutures and lateral-row sutures were then placed. Arthroscopic double-row suture anchor fixation of a displaced greater tuberosity fracture restores the original footprint of the rotator cuff and normal tendon-bone interface of the displaced greater tuberosity fracture.
Ji
Jong-Hun
JH
Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, South Korea. junwoo0220@yahoo.co.kr
Kim
Weon-Yoo
WY
Ra
Ki-Hang
KH
D001182:Arthroscopy / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D000070636:Rotator Cuff Injuries; D012784:Shoulder Fractures / Q000601:surgery*; D053441:Suture Anchors