Surgical Discussion

Patient positioning:  The patient was positioned supine for the clavicle fixation procedure. Two days later, the patient was repositioned laterally for the glenoid fixation.

Anatomical surgical approach:  For the clavicle fixation, a standard superior approach was utilized. For the glenoid, a modified Judet approach was employed, involving a posterior incision to access the infraglenoid and teres minor interval beneath the posterior deltoid muscle, ensuring careful avoidance of neurovascular structures.

The surgeon emphasized the importance of understanding posterior shoulder girdle anatomy to avoid nerve and artery injury during the modified Judet approach. The decision to use this approach over a limited lateral border/neck approach was based on the surgeon's comfort level and experience with posterior shoulder anatomy.

Postoperative protocol:   Postoperative rehabilitation included early mobilization with a focus on maintaining range of motion and gradual strengthening exercises to support recovery and return to motocross activities.

Follow up:   Not specified

Orthopaedic implants used:   Orthopaedic implants used included a clavicle plate and screws for the clavicle fracture, and a glenoid plate with screws for the glenoid fracture fixation.