{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:23:26Z","timestamp":1783441406765,"version":"3.54.6"},"reference-count":45,"publisher":"Bioscientifica","issue":"9","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":3451,"URL":"http:\/\/www.creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The management of articular fractures is always a matter of concern. Each articular fracture is different from the other, whatever the classification system used and the surgical or non-surgical indications employed by the surgeon. The main goals remain anatomical reduction, stable fixation, loose body removal and minimal invasiveness. Open procedures are a compromise. Unfortunately, it is not always possible to meet every treatment goal perfectly, since associated lesions can pass unnoticed or delay treatment, and even in a \u2018best-case\u2019 scenario there can be complications in the long term. In the last few decades, arthroscopic joint surgery has undergone an exponential evolution, expanding its application in the trauma field with the development of arthroscopic and arthroscopically-assisted reduction and internal fixation (ARIF) techniques. The main advantages are an accurate diagnosis of the fracture and associated soft-tissue involvement, the potential for concomitant treatments, anatomical reduction and minimal invasiveness. ARIF techniques have been applied to treat fractures affecting several joints: shoulder, elbow, wrist, hip, knee and ankle. The purpose of this paper is to provide a review of the most recent literature concerning arthroscopic and arthroscopically-assisted reduction and internal fixation for articular and peri-articular fractures of the upper limb, to analyse the results and suggest the best clinical applications. ARIF is an approach with excellent results in treating upper-limb articular and peri-articular fractures; it can be used in every joint and allows treatment of both the bony structure and soft-tissues. Post-operative outcomes are generally good or excellent. While under some circumstances ARIF is better than a conventional approach, the results are still beneficial due to the consistent range of movement recovery and shorter rehabilitation time. The main limitation of this technique is the steep learning curve, but investing in ARIF reduces intra-operative morbidity, surgical errors, operative times and costs.<\/jats:p>\n                  <jats:p>Cite this article: Dei Giudici L, Faini A, Garro L, Tucciarone A, Gigante A. Arthroscopic management of articular and peri-articular fractures of the upper limb. EFORT Open Rev 2016;1:325-331. DOI: 10.1302\/2058-5241.1.160016.<\/jats:p>","DOI":"10.1302\/2058-5241.1.160016","type":"journal-article","created":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T20:49:29Z","timestamp":1474318169000},"page":"325-331","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":8,"title":["Arthroscopic management of articular and peri-articular fractures of the upper limb"],"prefix":"10.1530","volume":"1","author":[{"given":"Luca","family":"Dei Giudici","sequence":"first","affiliation":[{"name":"1Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Universit\u00e0 Politecnica delle Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Faini","sequence":"additional","affiliation":[{"name":"1Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Universit\u00e0 Politecnica delle Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Garro","sequence":"additional","affiliation":[{"name":"2II Orthopaedic Division, Istituto Chirurgico Ortopedico Traumatologico, ICOT, Latina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agostino","family":"Tucciarone","sequence":"additional","affiliation":[{"name":"2II Orthopaedic Division, Istituto Chirurgico Ortopedico Traumatologico, ICOT, Latina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Gigante","sequence":"additional","affiliation":[{"name":"1Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, School of Medicine, Universit\u00e0 Politecnica delle Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2016,9,19]]},"reference":[{"key":"2026070711124072100_bibr1-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1097\/00003086-199307000-00013","article-title":"Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications","volume":"292","author":"Teeny","year":"1993","journal-title":"Clin Orthop Relat Res"},{"key":"2026070711124072100_bibr2-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.jhsa.2004.11.011","article-title":"Thumb carpometacarpal arthroscopy: a topographic, anatomic study of the thenar portal","volume":"30A","author":"Walsh","year":"2005","journal-title":"J Hand Surg"},{"key":"2026070711124072100_bibr3-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1053\/jhsu.2000.17868","article-title":"Dorsal perilunate dislocations and fracture-dislocations: Questionnaire, clinical, and radiographic evaluation","volume":"25","author":"Hildebrand","year":"2000","journal-title":"J Hand Surg Am"},{"key":"2026070711124072100_bibr4-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1016\/j.jhsa.2008.07.016","article-title":"Treatment of acute lunate and perilunate dislocations","volume":"33","author":"Budoff","year":"2008","journal-title":"J Hand Surg Am"},{"key":"2026070711124072100_bibr5-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.berh.2008.02.005","article-title":"Principles of surgical management of musculoskeletal conditions","volume":"22","author":"Venkatesh","year":"2008","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"2026070711124072100_bibr6-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1016\/j.arthro.2008.05.015","article-title":"Bony instability of the shoulder","volume":"24","author":"Bushnell","year":"2008","journal-title":"Arthroscopy"},{"key":"2026070711124072100_bibr7-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"2067","DOI":"10.1177\/0363546507305011","article-title":"Long-term outcome of acute versus chronic bony Bankart lesions managed arthroscopically","volume":"35","author":"Porcellini","year":"2007","journal-title":"Am J Sports Med"},{"key":"2026070711124072100_bibr8-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1007\/s00167-007-0437-2","article-title":"Arthroscopic screw fixation of large anterior glenoid fractures","volume":"16","author":"Tauber","year":"2008","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070711124072100_bibr9-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1302\/0301-620X.84B2.0840173","article-title":"Fractures of the glenoid treated by operation. A 5- to 23-year follow-up of 22 cases","volume":"84-B","author":"Schandelmaier","year":"2002","journal-title":"J Bone Joint Surg [Br]"},{"key":"2026070711124072100_bibr10-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1007\/s00167-002-0340-9","article-title":"Arthroscopy-assisted reduction and percutaneous fixation of a multiple glenoid fracture","volume":"11","author":"Gigante","year":"2003","journal-title":"Knee Surg Sport Traumatol Arthrosc"},{"key":"2026070711124072100_bibr11-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"e251","DOI":"10.1016\/j.eats.2013.02.018","article-title":"Arthroscopic bony Bankart fixation using a modified Sugaya Technique","volume":"2","author":"Gupta","year":"2013","journal-title":"Arthroscopy Tech"},{"key":"2026070711124072100_bibr12-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/j.jse.2010.08.003","article-title":"Arthroscopically assisted fixation of glenoid fractures: a cadaver study to show potential application of percutaneous screw insertion and anatomic risks","volume":"20","author":"Marsland","year":"2011","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070711124072100_bibr13-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1558","DOI":"10.1007\/s00167-010-1390-z","article-title":"A new \u201cdouble-pulley\u201d dual-row technique for arthroscopic fixation of bony Bankart lesion","volume":"19","author":"Zhang","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070711124072100_bibr14-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1007\/s00167-012-2237-6","article-title":"Modified arthroscopic McLaughlin procedure for treatment of posterior instability of the shoulder with an associated reverse Hill-Sachs lesion","volume":"21","author":"Martetschl\u00e4ger","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070711124072100_bibr15-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1067\/mse.2002.126613","article-title":"Epidemiology of clavicle fractures","volume":"11","author":"Postacchini","year":"2002","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070711124072100_bibr16-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1007\/s00402-011-1455-6","article-title":"Arthroscopic stabilization for Neer type 2 fracture of the distal clavicle fracture","volume":"132","author":"Takase","year":"2012","journal-title":"Arch Orthop Trauma Surg"},{"key":"2026070711124072100_bibr17-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"e47","DOI":"10.1016\/j.jse.2013.05.016","article-title":"Acute lateral dislocated clavicular fractures: arthroscopic stabilization with TightRope","volume":"23","author":"Motta","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070711124072100_bibr18-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.jse.2007.08.011","article-title":"Treatment of distal clavicle fractures using an arthroscopic technique","volume":"17","author":"Checchia","year":"2008","journal-title":"J Shoulder Elbow Surg"},{"key":"2026070711124072100_bibr19-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.arthro.2006.08.028","article-title":"Arthroscopic stabilization of Neer type 2 fracture of the distal part of the clavicle","volume":"23","author":"Nourissat","year":"2007","journal-title":"Arthroscopy"},{"key":"2026070711124072100_bibr20-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"e61","DOI":"10.1016\/j.eats.2012.11.001","article-title":"Arthroscopic treatment of comminuted distal clavicle fractures (Latarjet Fractures) using 2 double-button devices","volume":"2","author":"Pujol","year":"2013","journal-title":"Arthroscopy Tech"},{"key":"2026070711124072100_bibr21-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.injury.2007.09.022","article-title":"Isolated tuberosity fractures of the proximal humerus: current concepts","volume":"39","author":"Gruson","year":"2008","journal-title":"Injury"},{"key":"2026070711124072100_bibr22-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1007\/s00590-013-1212-3","article-title":"Arthroscopic management of occult greater tuberosity fracture of the shoulder","volume":"24","author":"Park","year":"2014","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"2026070711124072100_bibr23-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1007\/s00167-012-2033-3","article-title":"Arthroscopic refixation of a combined fracture of the greater and lesser tuberosity of the proximal humerus","volume":"21","author":"Pauly","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070711124072100_bibr24-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.arthro.2007.05.003","article-title":"Arthroscopic fixation for displaced greater tuberosity fracture using the suture-bridge technique","volume":"24","author":"Kim","year":"2008","journal-title":"Arthroscopy"},{"key":"2026070711124072100_bibr25-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1007\/s00402-011-1430-2","article-title":"All-arthroscopic intramedullary nailing of 2- and 3-part proximal humeral fractures: a new arthroscopic technique and preliminary results","volume":"132","author":"Lill","year":"2012","journal-title":"Arch Orthop Trauma Surg"},{"key":"2026070711124072100_bibr26-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.hcl.2009.05.009","article-title":"The emerging role of elbow arthroscopy in chronic use injuries and fracture care","volume":"25","author":"Hsu","year":"2009","journal-title":"Hand Clin"},{"key":"2026070711124072100_bibr27-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"2542","DOI":"10.1007\/s00167-012-1904-y","article-title":"Elbow arthroscopy in acute injuries","volume":"20","author":"Van Tongel","year":"2012","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070711124072100_bibr28-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1007\/s00167-007-0378-9","article-title":"Arthroscopic management of Mason type 2 radial head fractures","volume":"15","author":"Michels","year":"2007","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070711124072100_bibr29-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1007\/s00167-013-2772-9","article-title":"Outcome of arthroscopic treatment for dispiace lateral clavicle fractures using a double button device","volume":"23","author":"Louriat","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070711124072100_bibr30-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1053\/jars.2001.28929","article-title":"Arthroscopic excision of the radial head: clinical outcome in 12 patients with post-traumatic arthritis after fracture of the radial head or rheumatoid arthritis","volume":"17","author":"Menth-Chiari","year":"2001","journal-title":"Arthroscopy"},{"key":"2026070711124072100_bibr31-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.arthro.2005.10.013","article-title":"Arthroscopic treatment of the arthritic elbow due to primary radiocapitellar arthritis","volume":"22","author":"McLaughlin","year":"2006","journal-title":"Arthroscopy"},{"key":"2026070711124072100_bibr32-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1016\/j.arthro.2007.05.017","article-title":"Arthroscopic-assisted treatment of coronoid fractures","volume":"23","author":"Adams","year":"2007","journal-title":"Arthroscopy"},{"key":"2026070711124072100_bibr33-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"3147","DOI":"10.1007\/s11999-008-0502-2","article-title":"Arthroscopically assisted coronoid fracture fixation","volume":"466","author":"Hausmann","year":"2008","journal-title":"Clin Orthop Relat Res"},{"key":"2026070711124072100_bibr34-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.arthro.2006.11.030","article-title":"Arthroscopic-assisted reduction and percutaneous external fixation of lateral condyle fractures of the humerus","volume":"23","author":"Perez Carro","year":"2007","journal-title":"Arthroscopy"},{"key":"2026070711124072100_bibr35-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1007\/s00776-013-0371-8","article-title":"Less invasive surgery with wrist arthroscopy for distal radius fracture","volume":"18","author":"Abe","year":"2013","journal-title":"J Orthop Sci"},{"key":"2026070711124072100_bibr36-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1302\/0301-620X.90B6.19809","article-title":"Treatment of intra-articular fractures of the distal radius: fluoroscopic or arthroscopic reduction?","volume":"90-B","author":"Varitimidis","year":"2008","journal-title":"J Bone Joint Surg [Br]"},{"key":"2026070711124072100_bibr37-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1016\/j.jhsa.2014.02.013","article-title":"Arthroscopic reduction of comminuted intra-articular distal radius fractures with diaphyseal-metaphyseal comminution","volume":"39","author":"Del Pinal","year":"2014","journal-title":"J Hand Surg Am"},{"key":"2026070711124072100_bibr38-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"2334","DOI":"10.2106\/00004623-200711000-00002","article-title":"Intercarpal ligament injuries associated with fractures of the distal part of the radius","volume":"89-A","author":"Forward","year":"2007","journal-title":"J Bone Joint Surg [Am]"},{"key":"2026070711124072100_bibr39-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.jhsa.2006.10.012","article-title":"Dry arthroscopy of the wrist: surgical technique","volume":"32","author":"Del Pi\u00f1al","year":"2007","journal-title":"J Hand Surg [Am]"},{"key":"2026070711124072100_bibr40-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1053\/j.oto.2009.09.007","article-title":"Current treatment of distal radiais fractures: arthroscopic assisted fracture reduction of distal radius fractures","volume":"19","author":"Dantuliri","year":"2009","journal-title":"Oper Tech Orthop"},{"key":"2026070711124072100_bibr41-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.jhsa.2007.12.009","article-title":"Arthroscopic assessment of intraarticular fractures after open reduction and internal reduction and internal fixation from a volar approach","volume":"33","author":"Lutsky","year":"2008","journal-title":"J Hand Surg Am"},{"key":"2026070711124072100_bibr42-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0030-5898(05)70251-0","article-title":"Treating fractures of the distal radius with arthroscopic assistance","volume":"32","author":"Abboudi","year":"2001","journal-title":"Orthop Clin North Am"},{"key":"2026070711124072100_bibr43-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1302\/0301-620X.90B4.20414","article-title":"Transferring simulated arthroscopic skills to the operating theatre: a randomised blinded study","volume":"90-B","author":"Howells","year":"2008","journal-title":"J Bone Joint Surg [Br]"},{"key":"2026070711124072100_bibr44-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/00003086-200102000-00028","article-title":"Arthroscopic reduction and internal fixation of tibial plateau fractures in skiing","volume":"383","author":"Gill","year":"2001","journal-title":"Clin Orthop"},{"key":"2026070711124072100_bibr45-2058-5241.1.160016","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1007\/s00167-010-1298-7","article-title":"Arthroscopy-assisted fracture fixation","volume":"19","author":"Atesok","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"container-title":["EFORT Open Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/2058-5241.1.160016","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/2058-5241.1.160016","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/1\/9\/325\/11727\/2058-5241.1.160016.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/1\/9\/325\/11727\/2058-5241.1.160016.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T15:46:14Z","timestamp":1783439174000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article\/1\/9\/325\/1696\/Arthroscopic-management-of-articular-and-peri"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,1]]},"references-count":45,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2016,9,19]]},"published-print":{"date-parts":[[2016,9,1]]}},"URL":"https:\/\/doi.org\/10.1302\/2058-5241.1.160016","relation":{},"ISSN":["2058-5241"],"issn-type":[{"value":"2058-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,1]]}}}