Abstract
This article describes amultifragmentary glenoid fracture in a65-year-old patient after falling from aheight of2m. The accident led to complete Y‑shaped destruction of the glenohumeral joint with alarge posteroinferior fragment and a large anteroinferior glenoid fragment. The treatment consisted of atwo-stage surgical procedure and acombination of open and arthroscopic techniques. First, open surgery of one fragment from the dorsal side was performed using screw osteosynthesis. Arthroscopic refixation of the anterior glenoid fragment (bony Bankart lesion) followed 4 weeks later using aguided Endobutton® technique (Smith & Nephew). Ideberg type6multifragmentary glenoid fractures are rare and should be treated surgically, especially with dislocated fragments, instability in the glenohumeral joint and in younger patients. Given the lack of evidence in the literature, individual surgical strategies are necessary.
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