Arthroscopy - 2026-08-20 - Journal Article
The "Mooring" Technique for Large Anterior Glenoid Rim Fractures Results in Favorable Clinical and Radiological Outcomes.
Wu D, Tang Y, Yu G, Yan Y, Xu L, Wang Y, Zhao Q
Topics
Key Takeaway
The arthroscopic 'mooring' technique for large anterior glenoid rim fractures (≥20% glenoid width, >5 mm displacement) achieved 100% bone union at 6 months and satisfactory reduction in 92.9% of 56 patients at mean 27.2-month follow-up.
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Summary
This retrospective case series evaluated the arthroscopic 'mooring' technique for acute anterior glenoid rim fractures involving ≥20% glenoid width with >5 mm displacement in 56 patients. At mean 27.2-month follow-up, ASES score was 89.5, Rowe score 89.6, and Constant-Murley score 90.3, with 100% bone union at 6 months and satisfactory reduction (grade I/II) in 92.9% of cases. Glenohumeral osteoarthritis progression occurred in 7.1% of patients, and small but statistically significant range-of-motion deficits persisted compared to the contralateral shoulder.
Key Limitation
The retrospective single-cohort design with no comparator group makes it impossible to determine whether the mooring technique is superior, equivalent, or inferior to established alternatives such as open screw fixation or the Latarjet procedure for large glenoid rim fractures.
Original Abstract
PURPOSE
To describe the arthroscopic "mooring" technique for the treatment of large anterior glenoid rim fractures and report the clinical and radiological outcomes of a consecutive case series treated with this technique.
METHODS
This retrospective study was conducted between January 2016 and August 2023. Eligible patients were those with acute anterior glenoid rim fracture (≥20% glenoid width involvement, displacement >5 mm) who underwent the "mooring" technique. All completed preoperative, 1-day postoperative, and 6-month postoperative computed tomography scans, as well as radiographs and clinical follow-up for a minimum of 2 years. Clinical outcomes were assessed using the American Shoulder and Elbow Surgeons score, Constant-Murley score, Rowe score, the Single Assessment Numeric Evaluation, and visual analog scale for pain. Radiographic parameters included reduction quality, bone union, and glenohumeral osteoarthritis progression.
RESULTS
A total of 56 patients was included in the final analysis (40 men, 16 women; mean age, 46.8 ± 16.2 years). The mean follow-up period was 27.2 ± 2.9 months. At the final follow-up, the mean American Shoulder and Elbow Surgeons, Constant-Murley, Rowe scores, Single Assessment Numeric Evaluation, and visual analog scale for pain were 89.5 ± 6.4, 90.3 ± 6.0, 89.6 ± 4.5, 83.2 ± 8.5, and 1.1 ± 1.0 points, respectively. Range of motion of the affected shoulder differed from the contralateral side: anterior flexion deficit -8° (P < .001), external rotation deficit -6° (P < .001), and internal rotation (P < .001). Bone union rate was 100% at 6 months postoperatively (66.1% complete, 33.9% partial). Satisfactory reduction quality (grade I/II) was achieved in 52 (92.9%) cases. Four patients (7.1%) showed glenohumeral osteoarthritis progression at the final follow-up.
CONCLUSIONS
The arthroscopic "mooring" technique for large anterior glenoid rim fractures yields satisfactory 2-year short-term outcomes, featuring favorable reduction quality, a high bone union rate, and good clinical functional recovery.
LEVEL OF EVIDENCE
Level IV, retrospective case series.