A case-control study of shoulder arthroscopic double row and single row technique for the treatment of Ideberg type ⅠA scapular glenoid fracture.
10.12200/j.issn.1003-0034.20240947
- Author:
Zhe-Yuan SHEN
1
;
Rong WU
1
;
Qiao-Ying PENG
2
;
Heng LI
1
;
Song-Hua GUO
1
;
Zhan-Feng ZHANG
1
Author Information
1. Department of Orthopaedics, the First Affiliated Hospital of Huzhou Normal University, the First People's Hospital of Huzhou, Huzhou 313000, Zhejiang, China; Huzhou Key Laboratory for Early Diagnosis and Treatment of Osteoarthritis, Huzhou 313000, Zhejiang, China.
2. Department of Orthopaedics, the First Affiliated Hospital of Huzhou Normal University, the First People's Hospital of Huzhou, Huzhou 313000, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Bony Bankart;
Double pulley technique;
Shoulder arthroscopy;
Suture anchor
- MeSH:
Humans;
Female;
Male;
Middle Aged;
Arthroscopy/methods*;
Adult;
Scapula/surgery*;
Case-Control Studies;
Fractures, Bone/physiopathology*;
Fracture Fixation, Internal/methods*;
Shoulder Joint/physiopathology*;
Range of Motion, Articular
- From:
China Journal of Orthopaedics and Traumatology
2025;38(3):223-230
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare clinical effect of arthroscopic double row fixation and single row fixation in treating Ideberg typeⅠA scapular glenoid fracture.
METHODS:From June 2018 to December 2022, 26 patients with Ideberg typeⅠA scapular glenoid fracture treated with shoulder arthroscopy were divided into single-row anchor group and double-row anchor group according to the fixation method of fracture block. There were 12 patients in single-row anchor group, including 7 males and 5 females, aged from 25 to 53 years old with an average of (38.42±9.61) years old;the time from injury to operation ranged from 2 to 7 days with an average of (4.75±1.82) days. There were 14 patients in double-row anchor group, including 10 males and 4 females, aged from 21to 53 years old with an average of (37.36±10.19) years old;the time from injury to operation ranged from 1 to 8 days with an average of (4.21±2.01) days. The changes of shoulder joint flexion, abduction, lateral lateral rotation, Constant-Murley shoulder function score and Rowe scores were compared between two groups before operation and 1 year after operation. The percentage of bone mass in pelvis area before operation and the percentage of bone defect in pelvis area at the latest follow-up were compared between two groups.
RESULTS:All patients were followed up for 12 to 15 months with an average of (13.08±1.17) months in single-row anchor group and 12 to 15 months with an average of (13.29±1.07) months in double-row anchor group, with no statistical significance between two groups (P>0.05). The results of anterior flexion, abduction and lateral lateral rotation in single-row anchor group were(86.67±6.62) °, (79.50±5.68) °, (38.17±1.70) ° before operation, and (162.50±4.52)°, (169.17±3.35)°, (50.67±10.20)° at 1 year after operation; while in double-row anchor group were (84.14±5.48) °, (81.71±5.20) °, (39.29±3.63) ° before operation and (162.29 ± 5.53) °, (167.14±3.61) °, (56.93±9.56) ° at 1 year after operation;the difference between two groups before operation and 1 year after operation was statistically significant (P<0.05). There were no significant difference between two groups (P>0.05). Constant-Murley scores and Rowe scores in single-row anchor group were (55.42±3.75), (43.75±18.49) before operation and (94.83±2.21), (95.42±4.50) at 1 year after operation, respectively;while in double-row anchor group were (54.50±7.88), (41.79±18.25) before operation and (94.36±4.73), (95.00±4.80) at 1 year after operation;there was no significant difference in Constant-Murley score and Rowe score between two groups before operation and 1 year after operation (P>0.05). There was significant difference in the percentage of bone mass in pelvis area between two groups before operation (P>0.05). There was no significant difference in the percentage of bone defect in the shoulder area between single-row anchor group(4.42±1.51)% and double-row anchor group (2.71±1.44)% at 1 year after operation (P<0.05).
CONCLUSION:Both single and double row fixation techniques for the treatment of Ideberg typeⅠA scapular glenoid fracture could receive satisfactory functional recovery. However, double-row fixation has more advantages in reducing bone resorption of fracture mass.
