PMC9918334_01
CT in the axial plane of the shoulder (Case 1). (A) glenoid fracture and bone loss, and (B) a 3D reconstruction indicating of the shoulder demonstrating anteroinferior glenoid fracture and bone loss.. CT: computed tomography; 3D: three-dimensional
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FIG1
Imaging displayed a glenoid fracture with glenoid bone loss (Figure 1).
Axial CT scan of the right shoulder (Case 1). The red arrow shows coracoid non-union.. CT: computed tomography
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FIG2
A coracoid fracture was also noted near the tip of the coracoid, making him a poor candidate for a Latarjet (Figure 2).
Arthroscopic view (Case 1). Engaging Hill Sachs lesion (A) and glenoid fragment (B).
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FIG3
He elected to proceed with an arthroscopic remplissage and an open Bankart repair of both the fractured glenoid and the labrum, but without bony augmentation (Figure 3).
Scapular spine fixed in glenoid defect and flush with the glenoid surface in Case 1. The blue arrow indicates the glenoid, while the green arrow indicates the scapular spine fragment with one of two screws adjacent to the arrowhead.
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FIG4
The graft was inspected and matched with the glenoid defect before being seated and drilled flush with the glenoid articular surface using the same technique as for a Latarjet procedure (Figure 4).
Radiographs of the right shoulder at three-month follow-up from case 1
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FIG5
Radiographs again demonstrated that the hardware was in an appropriate position (Figure 5).
PMC9918334_02
Axial CT scan (case 2). (A) large Hill-Sachs lesion and (B) glenoid bone loss. CT: computed tomography
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FIG6
A CT scan revealed a large Hill Sachs lesion and glenoid bone loss (Figure 6).
Arthroscopic view in Case 2. (A) Hill Sachs lesion and humeral head chondral damage, and (B) glenoid bone loss
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FIG7
Diagnostic arthroscopy demonstrated a large Hill Sachs lesion with osteochondral damage (Figure 7).
Radiographs of the right shoulder at five-week follow-up from Case 2
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FIG8
Radiographs showed the hardware was in the appropriate position (Figure 8).