Abstract：
BACKGROUND: Imaging techniques such as X-rays and 3D Computed Tomography (CT) are used to diagnose and evaluate a patient\'s shoulder before and after surgery. Identifying the kind, location, and severity of a shoulder fracture helps surgeons choose the right treatment and surgery.
OBJECTIVE: The study examines the effectiveness of small incision reduction and superior closure pinning in treating Ideberg type III glenoid fractures identified by X-ray and CT scans.
METHODS: From October 2017 to June 2022, 40 patients with Ideberg type III glenoid fractures underwent mini-incision reduction and superior closed pinning fixation using the Anterior (AA) and Posterior (PA) approaches. Pre- and post-surgery shoulder scores and imaging data were analyzed. Outpatient review and shoulder anteroposterior radiographs were collected at 1, 3, 6, and 12 months after surgery. We assessed shoulder joint function using the American Shoulder and Elbow Society (ASES) shoulder score, VAS score, Constant-Murley Shoulder Outcome (Constant) score, and DASH score.
RESULTS: A total of 40 patients were monitored for 14-16 months, averaging 15.2 ± 0.3 months. All fractures were healed between 14-25 weeks from X-rays, averaging 17.6 ± 5.4 weeks. Both the AA and PA groups had similar shoulder score changes. However, the AA group did better. In all cases, ASES shoulder scores were outstanding at 80%. Radiographs demonstratedno traumatic arthritis or internal fixation failure consequences like screw loosening or breakage.
CONCLUSIONS: It was concluded that Ideberg type III glenoid fracture reduction with an anterior small incision and superior closed pinning hollow lag screw internal fixation could be successful.
OBJECTIVE: The study examines the effectiveness of small incision reduction and superior closure pinning in treating Ideberg type III glenoid fractures identified by X-ray and CT scans.
METHODS: From October 2017 to June 2022, 40 patients with Ideberg type III glenoid fractures underwent mini-incision reduction and superior closed pinning fixation using the Anterior (AA) and Posterior (PA) approaches. Pre- and post-surgery shoulder scores and imaging data were analyzed. Outpatient review and shoulder anteroposterior radiographs were collected at 1, 3, 6, and 12 months after surgery. We assessed shoulder joint function using the American Shoulder and Elbow Society (ASES) shoulder score, VAS score, Constant-Murley Shoulder Outcome (Constant) score, and DASH score.
RESULTS: A total of 40 patients were monitored for 14-16 months, averaging 15.2 ± 0.3 months. All fractures were healed between 14-25 weeks from X-rays, averaging 17.6 ± 5.4 weeks. Both the AA and PA groups had similar shoulder score changes. However, the AA group did better. In all cases, ASES shoulder scores were outstanding at 80%. Radiographs demonstratedno traumatic arthritis or internal fixation failure consequences like screw loosening or breakage.
CONCLUSIONS: It was concluded that Ideberg type III glenoid fracture reduction with an anterior small incision and superior closed pinning hollow lag screw internal fixation could be successful.
摘要：
背景：诸如X射线和3D计算机断层扫描（CT）之类的成像技术用于在手术前后诊断和评估患者的肩部。识别种类，location,肩关节骨折的严重程度有助于外科医生选择正确的治疗和手术。
目的：该研究通过X线和CT扫描检查了小切口复位和优质闭合钉扎治疗IdebergIII型关节盂骨折的有效性。
方法：2017年10月至2022年6月，40例IdebergIII型关节盂骨折患者采用前（AA）和后（PA）入路进行小切口复位和上闭合钉扎固定。分析手术前后肩关节评分及影像学资料。在手术后1、3、6和12个月收集门诊复查和肩部前后位X光片。我们使用美国肩肘协会（ASES）肩关节评分评估肩关节功能，VAS评分,恒定-Murley肩膀结果（恒定）得分，和DASH得分。
结果：共有40名患者接受了14-16个月的监测，平均15.2±0.3个月。所有骨折均在X线片14-25周之间愈合，平均17.6±5.4周。AA组和PA组的肩关节评分变化相似。然而,AA组做得更好。在所有情况下,ASES肩部评分为80％。X光片显示没有创伤性关节炎或内固定失败的后果，如螺钉松动或断裂。
结论：可以得出结论，前路小切口和上闭合钉扎空心拉力螺钉内固定可成功复位IdebergIII型关节盂骨折。
目的：该研究通过X线和CT扫描检查了小切口复位和优质闭合钉扎治疗IdebergIII型关节盂骨折的有效性。
方法：2017年10月至2022年6月，40例IdebergIII型关节盂骨折患者采用前（AA）和后（PA）入路进行小切口复位和上闭合钉扎固定。分析手术前后肩关节评分及影像学资料。在手术后1、3、6和12个月收集门诊复查和肩部前后位X光片。我们使用美国肩肘协会（ASES）肩关节评分评估肩关节功能，VAS评分,恒定-Murley肩膀结果（恒定）得分，和DASH得分。
结果：共有40名患者接受了14-16个月的监测，平均15.2±0.3个月。所有骨折均在X线片14-25周之间愈合，平均17.6±5.4周。AA组和PA组的肩关节评分变化相似。然而,AA组做得更好。在所有情况下,ASES肩部评分为80％。X光片显示没有创伤性关节炎或内固定失败的后果，如螺钉松动或断裂。
结论：可以得出结论，前路小切口和上闭合钉扎空心拉力螺钉内固定可成功复位IdebergIII型关节盂骨折。
