Arthroscopic Single-Layer Hyaluronate-Based Scaffold for Osteochondritis Dissecans of the Glenoid

Osteochondritis dissecans (OCD) of the glenoid is a rare condition occurring primarily in overhead athletes. Symptoms are not specific and consist of pain, worsening range of motion, and decreased sport performance. Radiologic evaluation is crucial for diagnosis and, in particular magnetic resonance imaging, to grade this condition according to the International Cartilage Research Society OCD grading system. International Cartilage Research Society OCD stages II, III, and IV generally require surgical treatment. There's still no consensus on the best procedure, and various techniques have been described, mostly inspired by experience in other joints. This Technical Note describes an arthroscopic technique with a single-layer hyaluronate-based scaffold added to microfractures and fixed with fibrin glue for the treatment of osteochondritis dissecans of the glenoid.