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Scapular body fractures: results of operative treatment

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Abstract

The authors operated on 22 patients with scapular body fractures, with a mean age of 35 years. The minimal follow-up was 12 months. All patients were treated from the Judet posterior approach. The study included 14 cases of an isolated body fracture, three of scapular body fracture combined with fracture of the scapular neck and five of glenoid fossa fracture. In all 14 cases where a 3D computed tomography (CT) reconstruction was performed prior to operation, intraoperative findings corresponded to this reconstruction. In eight cases without preoperative 3D CT reconstruction, the correct type of fracture was identified in only two cases. We also identified three basic types of fractures of the lateral border of the scapula. The anatomical relationship between the glenoid fossa and scapular body, congruency and stability of the shoulder joint was achieved in all cases. The average constant score was 94.

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References

  1. Judet R (1964) Traitement chirurgical des fractures de l´omoplate. Acta Orthop Belg 30:673–678

    PubMed  CAS  Google Scholar 

  2. Magerl F (1974) Osteosynthesen im Bereich der Schulter. Helv Chir Acta 41:225–232

    PubMed  CAS  Google Scholar 

  3. Hardegger F, Simpson LA, Weber BG (1984) The operative treatment of scapula fractures. J Bone Joint Surg Br 66-B:725–731

    Google Scholar 

  4. Armstrong CP, van der Spuy J (1984) The fractures scapula: Importance and management based on series of 62 patients. Injury 15:324–329

    Article  PubMed  CAS  Google Scholar 

  5. Nordqvist A, Petersson C (1992) Fractures of the body, neck, or spine of the scapula. Clin Orthop Relat Res 283:139–144

    PubMed  Google Scholar 

  6. Romero J, Schai O, Imhoff AB (2001) Scapula neck fracture: the influence of permanent malalignment of the glenoid neck on clinical outcome. Arch Orthop Trauma Surg 121:313–316

    Article  PubMed  CAS  Google Scholar 

  7. Pace AM, Stuart R, Brownlow H (2005) Outcome of glenoid neck fractures. J Shoulder Elbow Surg 14:585–590

    Article  PubMed  Google Scholar 

  8. Bozkurt M, Can F, Kirdemir V, Erden Z, Demirkale I, Bosbozkurt M (2006) Conservative treatment of scapula neck fracture: the effect of stability and glenopolar angle on clinical outcome. Injury 36:1176–1181

    Article  Google Scholar 

  9. Bauer G, Fleuschmann W, Dussler E (1995) Displaced scapula fractures: indication and long-term results of open reduction and internal fixation. Arch Orthop Trauma Surg 114:215–219

    Article  PubMed  CAS  Google Scholar 

  10. Ada JR, Miller ME (1991) Scapula fractures. Analysis of 113 cases. Clin Ortop Relat Res 269:174–180

    Google Scholar 

  11. Cole PA (2002) Scapula fractures. Orthop Clin N Amer 33:1–18

    Article  Google Scholar 

  12. Bartoníček J, Cronier P (2010) History of treatment of scapula fractures. Arch Orthop Trauma Surg 130:83–92

    Article  PubMed  Google Scholar 

  13. Hersovici D, Roberts CS (2006) Scapula fractures: to fix or not to fix? J Orthop Trauma 20:227–229

    Article  Google Scholar 

  14. Lantry JM, Roberts CS, Giannoudis PV (2008) Operative treatment of scapular fractures: a systematic review. Injury 39:271–283

    Article  PubMed  Google Scholar 

  15. Nork SE, Barei DP, Gardner MJ, Schildhauer TA, Mayo KA, Benirschke SK (2008) Surgical exposure and fixation of displaced type IV, V and VI glenoid fractures. J Orthop Trauma 22:487–493

    Article  PubMed  Google Scholar 

  16. Herrera DA, Anavian J, Tarkin IS, Armitage BA, Chroder LK, Cole PA (2009) Delayed operative management of fractures of the scapula. J Bone Joint Surg Br 91-B:619–626

    Article  Google Scholar 

  17. Constant CR, Murley AH (1987) Clinical method of functional asesment of the shoulder. Clin Orthop Relat Res 214:160–164

    PubMed  Google Scholar 

  18. Bartoníček J, Frič V, Tuček M (2009) Intra-operative reduction of the scapular body - A technical trick. J Orthop Trauma 23:294–298

    Article  PubMed  Google Scholar 

  19. Ideberg R, Grevsten S, Larsson S (1995) Epidemiology of scapula fractures. Acta Orthop Scand 66:395–397

    Article  PubMed  CAS  Google Scholar 

  20. Goss TP (1995) Scapula fractures and dislocations: diagnosis and treatment. J Am Acad Orthop Surg 3:22–33

    PubMed  Google Scholar 

  21. Mayo KA, Benirschke SK, Mast JW (1998) Displaced fractures of the glenoid fossa. Clin Orthop Relat Res 346:122–130

    Google Scholar 

  22. Association OT (2007) Fracture and dislocation compendium. Scapula fractures J Orthop Trauma 21(Suppl 1):S68–S71

    Google Scholar 

  23. Euler E, Habermeyer P, Kohler W, Schweiberer L (1992) Skapulafrakturen - Klassifikation und Differentialtherapie. Orthopäde 21:158–162

    PubMed  CAS  Google Scholar 

  24. Bartoníček J, Frič V, Tuček M (2009) Radiographic evaluation of scapula fractures. Rozhl Chir 88:84–88

    PubMed  Google Scholar 

  25. Armitage BM, Wijdicks CA, Tarkin IS, Schroder LK, Marek DJ, Zlowodzki M, Cole PA (2009) Mapping of scapular fractures with three-dimensional computed tomography. J Bone Joint Surg Am 91:2222–2228

    Article  PubMed  Google Scholar 

Download references

Acknowledgment

The authors thank J. Jupiter, M.D. for his assistance in the preparation of the manuscript.

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Correspondence to Jan Bartoníček.

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Bartoníček, J., Frič, V. Scapular body fractures: results of operative treatment. International Orthopaedics (SICOT) 35, 747–753 (2011). https://doi.org/10.1007/s00264-010-1072-y

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  • DOI: https://doi.org/10.1007/s00264-010-1072-y

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