Anatomy of scapula and internal fixations in scapular fractures: analysis of curative effects

LI Jian-Chi, HUANG Bi-Liu, LIANG Jiang-Qing, TAN Jia-Qun, XU Zi-Jiang

Chinese Journal of Clinical Anatomy ›› 2012, Vol. 30 ›› Issue (5) : 573-575.

Chinese Journal of Clinical Anatomy ›› 2012, Vol. 30 ›› Issue (5) : 573-575.

Anatomy of scapula and internal fixations in scapular fractures: analysis of curative effects

  • LI Jian-chi, HUANG Bi-liu, LIANG Jiang-sheng, TAN Jia-qun, XU Zi-qiang
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Abstract

Objective To explore surgical effects of different internal fixation on treating scapular fractures. Methods From July 2007 to January 2012,36 cases of scapular fractures treated with surgical fixation were summarized and analyzed. For all patients, 19 treated with ordinary steel, 15 with locking plate, and 2 with lag screw fixation. Results All patients were followed up, averagely (17.5±6.5) months. Nonunion was not happened. According to the Hardegger's evaluation, 24 cases were excellent, 7 good,4 better, and only 1 poor. The rate of excellent functional recovery was about 86.1%. Conclusions Accurate diagnosis of fracture type, detailed understand of anatomical features of scapula, optimal internal fixation, and early functional exercises, are key elements of functional recovery of scapular joint after surgical process.   

Key words

Scapula / Fracture / Internal fixation

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LI Jian-Chi, HUANG Bi-Liu, LIANG Jiang-Qing, TAN Jia-Qun, XU Zi-Jiang. Anatomy of scapula and internal fixations in scapular fractures: analysis of curative effects[J]. Chinese Journal of Clinical Anatomy. 2012, 30(5): 573-575

References


[1] Miller ME, Ada JR. Injuries to the shoulder girdle
[M]//Browner BD, Jupiter JB, Levine AM, eds. Skeletal trauma. 2nd ed. WB saunder: Harcourt Publishers Limited, 1998: 1657-1670.

[2] Ideberg R, Grevsten S, Larsson S. Epidemiology of scapular fractures. Incidence and classification of 338 fractures
[J]. Acta Orthop Scand, 1995, 66(5):395-397.

[3]  胡孔和,吴强,席新华,等.改良肩后入路的解剖及不稳定肩胛骨骨折中的应用
[J].中国临床解剖学杂志,2009, 27(3): 354-356.

[4] Hardegger FH, Simpson LA, Weber BG. The operative treatment of scapular fractures
[J]. J Bone Joint Sure Br, 1984, 66(5):725-731.

[5]  叶林根,黄海华,周富根,等. 肩胛骨骨折内固定的应用解剖
[J].中国临床解剖学杂志,2004, 22(5): 525-527.

[6]  Tucek M, Bartonícek J. Associated injuries of the scapula fractures
[J]. Rozhl Chir, 2010, 89(5):288-292.

[7]  Baldwin KD, Ohman Strickland P, Mehta S, et al. Scapula fractures: a marker for concomitant injury? A retrospective review of data in the National Trauma Database
[J]. J Trauma, 2008, 65(2):430-435.

[8] Armitage BM, Wijdicks CA, Tarkin IS, et al. Mapping of scapular fractures with three dimensional computed tomography
[J]. J Bone Joint Surg Am,2009,91(9):2222-2228.

[9]  Lantry JM, Roberts CS, Giannoudis PV. Operative treatment of scapular fractures:a systematic review
[J]. Injury, 2008, 39(3):271-283.

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