Table 1.

Keys to Success

Preoperative

Initial ruling out of associated life-/limb-threatening injuries

Upright plain films

3D CT reconstructions

Setup

OR staff adept with arthroscopic and trauma surgery

Beach-chair positioning appropriate for arthroscopy and screw placement

Acquirement of necessary fluoroscopic views before preparation/draping

Intraoperative

Good fracture visualization and soft-tissue clearance

Identification and mobilization of coracoid

Anatomic appreciation of suprascapular nerve

Starting point and trajectory based on both arthroscopic and fluoroscopic views

Postoperative

Patient compliance

Rehabilitation protocol dictated by fracture pattern and associated injuries

High-quality physical therapy

CT, computed tomography; OR, operating room; 3D, 3-dimensional.