Background: We present what we believe to be the first description of an arthroscopically assisted approach to treat a patient with an osteo-chondral fracture associated with anterior labral lesion after a traumatic shoulder dislocation from a fall during snow-boarding. Case Report: We used a SmartNail^® for the fixation of the osteo-chondral fragment, followed by an arthroscopic anterior labrum repair with Lupine^® suture anchors. The procedure is presented in a video. Conclusion: Arthroscopically aided reduction and internal fixation can be considered as a possible treatment of osteo-chondral shoulder fracture.