{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T22:06:54Z","timestamp":1773180414429,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T00:00:00Z","timestamp":1740873600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Clinically, simple glenoid fractures are less prevalent, and surgical treatment of anterior glenoid fractures is often based on the classic anterior approach (delto\u2010pectoral approach), while there are few reports on the efficacy of the trans\u2010axillary approach. The objective of this study is to explore the clinical efficacy of both approaches in the treatment of Ideberg Types I and II scapular glenoid fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The trans\u2010axillary approach is the surgical method of exposing a glenoid fracture along the anterior edge of the latissimus dorsi muscle through an axillary incision. In terms of the Ideberg classification of scapular glenoid fractures, 36 patients with Ideberg Types I and II scapular glenoid fractures were retrospectively analyzed. There were 22 males and 14 females, and 9 cases of traffic injuries, 6 cases of high fall injuries (&gt;\u20091\u2009m), 18 cases of fall injuries (\u2264\u20091\u2009m), and 3 cases of strain injuries. Meanwhile, there were 29 cases of Type Ia, 2 cases of Type Ib, and 5 cases of Type II. Based on the surgical approach, the patients were divided into the trans\u2010axillary approach group (21 cases) and the delto\u2010pectoral approach group (15 cases). The following data were collected: general information including age, gender, and body mass index; hospitalization time, operation time, bleeding volume; disability of the arm, shoulder, and hand (Quick DASH [QDASH]); and patient satisfaction. Comparisons between the groups were made using the t test for two independent samples.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Operative time was significantly shorter in the trans\u2010axillary approach group than in the delto\u2010pectoral approach group (<jats:italic>t<\/jats:italic>\u2009=\u20096.39, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Constant\u2013Murley score was significantly higher in the trans\u2010axillary approach group than in the delto\u2010pectoral approach group (<jats:italic>t<\/jats:italic>\u2009=\u20094.96, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). QDASH score was lower in the trans\u2010axillary approach group than in the delto\u2010pectoral approach group (<jats:italic>t<\/jats:italic>\u2009=\u20092.66, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Patient satisfaction was higher in the trans\u2010axillary approach group than in the delto\u2010pectoral approach group (<jats:italic>t<\/jats:italic>\u2009=\u20094.5, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). All fractures healed by the final follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Trans\u2010axillary approach to the treatment of scapular glenoid fractures is less traumatic and less painful, associated with good recovery of shoulder joint function and high patient satisfaction, and more advantageous compared with the delto\u2010pectoral approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.70012","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T13:56:45Z","timestamp":1741701405000},"page":"1349-1358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparative Study of Trans\u2010Axillary Approach and Delto\u2010Pectoral Approach to the Treatment of Ideberg Types I and <scp>II<\/scp> Scapular Glenoid Fractures"],"prefix":"10.1111","volume":"17","author":[{"given":"Xu","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Trauma Orthopedics and Emergency Surgery Affiliated Hospital of Jining Medical University  Jining China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Trauma Orthopedics and Emergency Surgery Affiliated Hospital of Jining Medical University  Jining China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng\u2010Long","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Trauma Orthopedics and Emergency Surgery Affiliated Hospital of Jining Medical University  Jining China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dai\u2010Liang","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Jining Medical University  Jining China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiu\u2010Guo","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Trauma Orthopedics and Emergency Surgery Affiliated Hospital of Jining Medical University  Jining China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao\u2010Yan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Trauma Orthopedics and Emergency Surgery Affiliated Hospital of Jining Medical University  Jining China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8176-9322","authenticated-orcid":false,"given":"Yi\u2010Feng","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Trauma Orthopedics and Emergency Surgery Affiliated Hospital of Jining Medical University  Jining China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hai\u2010Bin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Trauma Orthopedics and Emergency Surgery Affiliated Hospital of Jining Medical University  Jining China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3707-0056","authenticated-orcid":false,"given":"Bin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Trauma Orthopedics and Emergency Surgery Affiliated Hospital of Jining Medical University  Jining China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,2]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","first-page":"8","article-title":"Epidemiology of Scapular Fractures","volume":"83","author":"Tu\u010dek M.","year":"2017","journal-title":"Acta Orthopaedica Belgica"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400517"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010011\u20102016\u20106"},{"issue":"5","key":"e_1_2_9_5_1","first-page":"347","article-title":"Surgical Indications and Fixation Methods for Scapular Fractures","volume":"36","author":"Chen X.","year":"2015","journal-title":"International Journal of Orthopaedics"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453679508995571"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs\u20102629436\/v1"},{"key":"e_1_2_9_8_1","first-page":"997","article-title":"Treatment of Shoulder Dislocation With Greater Tuberosity and Glenoid Fractures","volume":"26","author":"Jehan S.","year":"2016","journal-title":"Journal of the College of Physicians and Surgeons\u2013Pakistan"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.13305"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12786"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.55095\/achot2011\/046"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010011\u20101820\u20103"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.23603"},{"key":"e_1_2_9_14_1","volume-title":"Netter's Concise Atlas of Orthopaedic Anatomy","author":"Thompson J. C.","year":"2015"},{"issue":"4","key":"e_1_2_9_15_1","article-title":"Standardised Test Protocol (Constant Score) for Evaluation of Functionality in Patients With Shoulder Disorders","volume":"60","author":"Ban I.","year":"2013","journal-title":"Danish Medical Journal"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00023"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000142624.05526.dd"},{"issue":"1","key":"e_1_2_9_18_1","first-page":"18","article-title":"An Axillary Approach for Open Reduction and Internal Fixation to Treat Anterior Glenoid Fracture: An Anatomical and Clinical Study [in Chinese]","volume":"42","author":"Xing Y.","year":"2022","journal-title":"Chinese Journal of Orthopaedics"},{"issue":"5","key":"e_1_2_9_19_1","first-page":"414","article-title":"Posterior Trans\u2010Axillary Approach for Treatment of Some Scapular Fractures","volume":"24","author":"Zhang Z.","year":"2022","journal-title":"Chinese Journal of Orthopaedic Trauma"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010015\u20102242\u20106"},{"issue":"3","key":"e_1_2_9_21_1","first-page":"192","article-title":"Surgical Approach for Scapular Fractures","volume":"4","author":"Yu B.","year":"2016","journal-title":"Chinese Journal of Shoulder and Elbow"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13037\u2010020\u201000281\u20103"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2024.04.029"},{"issue":"3","key":"e_1_2_9_24_1","first-page":"252","article-title":"Therapeutic Effect Analysis of Pectoralis Major Deltoid Approach and Trans\u2010Deltoid Lateral Approach on Proximal Humeral Fracture","volume":"11","author":"Nan Z.","year":"2023","journal-title":"Chinese Journal of Shoulder and Elbow"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.11.058"},{"key":"e_1_2_9_26_1","first-page":"472","article-title":"Comparison of Effect Between Trans\u2010Axillary Approach and Pectoralis Major Deltoid Approach in the Surgical Treatment of Scapular Fractures Involving the Glenoid","volume":"5","author":"Sun Z. H.","year":"2022","journal-title":"Chinese Journal of Bone and Joint Injuries"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T03:09:50Z","timestamp":1746414590000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.70012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,2]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/os.70012"],"URL":"https:\/\/doi.org\/10.1111\/os.70012","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,2]]},"assertion":[{"value":"2024-11-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}