Arthroscopic approach to the glenoid fractures

The fractures of the scapula and of the glenoid are infrequent lesions. These lesions occur for high energy impacts like road accident and they generally present associated lesions like dislocation of the gleno-humeral Joint, acromio-clavicular joint, sterno-clavicular joint and clavicular fratures (floating shoulder). At the most glenoid fractures are minimally displaced and well treated in not surgical way. When the fractures of the glenoid have a significant displacement that is able to cause dislocation of the shoulder it is necessary to perform a surgical treatment, easier in acute than n chronic cases. Bigliani anatomically classified these lesion suggesting his own treatment. The surgical treatment is obligatory for the glenoid rim fragments displaced more then 10 mm, with an history of recurrent dislocation of the shoulder or when the glenoid fracture involves more than 25% of the glenoid surface. We report our own indications for treatment and our surgical arthroscopic experience for these kind of lesion.