The clinical results following open reduction and internal fixation via a modified dorsal two-portal-approach in dislocated scapular neck and glenoid fractures should be evaluated.

The approach with two dorsal portals to the glenoid, one cranially and one caudally of the infraspinatus muscle, is described.

From 1.7.1992 until 30.06.2006, 37 patients (27 men, 10 women, mean age 53 years), 31 patients with glenoid fractures and 6 patients with unstable scapular neck fractures were operated on via the two-portal-approach.

The reduction was controlled radiographically, the clinical results were analysed using the Constant-score.

The mean follow-up was 68 (6–168) months. In 22 out of the 31 glenoid fractures the reduction was anatomically. The mean Constant-score revealed 81,1 (35–100) points.

In one case an early postoperative wound infection could be cured by local revision and one patient developed an arthritis of the acromioclavicular joint after two years.

The dorsal two-portal-apporach allows a good visualisation to the dorsal scapular neck and the glenoid area fascilitating reduction and a safe internal fixation of dislocated scapular neck and glenoid farctures.