Arthroscopy for proximal humeral fracture

Abstract

Introduction: Arthroscopy has become an established treatment option for proximal humeral fractures. Methods: Isolated and combined fractures of the greater and lesser tuberosity can be refixed using various arthroscopic techniques. Furthermore two and three part fractures of the proximal humerus can be treated by all-arthroscopic intramedullary nailing. In addition to the advantages of minimally invasive surgery, fracture and implant positioning can be optimized and controlled arthroscopically and relevant intra-articular concomitant pathologies can also be diagnosed and treated. Moreover, arthroscopy has proven to be beneficial as a revision tool for unsatisfactory courses of proximal humeral fracture treatment. Conclusion: This review presents innovative arthroscopic treatment modalities for proximal humeral fractures. Surgical techniques are described, potential advantages compared to open procedures are outlined and first clinical results are demonstrated.