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Fig. 5 | Patient Safety in Surgery

Fig. 5

From: Current challenges and controversies in the management of scapular fractures: a review

Fig. 5

a: Preoperative true AP and lateral scapular radiographic views of the right shoulder of a 40-years-old male patient, showing a step-off on the anteroinferior rim of the glenoid (white arrowheads). Patient reported on a fall from stairs 48 h before. Also note the small bone fragments in the inferior portion of the capsule (yellow arrowheads); b: Preoperative 3-D CT reconstructions showing the displaced anteroinferior glenoid rim fracture (white arrowheads) and small bone fragments in the inferior portion of the capsule (yellow arrowheads); c: Intraoperative image showing the anteroinferior rim fracture anatomically reduced and provisionally fixed with multiple threaded K-wires. Observe the number 2 ethibond® sutures attached to the anterior labrum for posterior repair. * – anteroinferior glenoid rim fragment, h – humerus head; d: Intraoperative true AP and lateral scapular fluoroscopic views of the right shoulder showing final fixation with three 2.4-mm headless screws. Labrum was repaired using a bone anchor and unabsorbable sutures; e: Postoperative true anteroposterior and lateral scapular radiographic views of the right shoulder demonstrating the anatomic reduction of the anterior glenoid rim; f Pictures done during the rehabilitation protocol, demonstrating a satisfactory range of motion of the operated shoulder

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