Goss TP
Orthopaedic Surgery, Department of Orthopedics, University of Massachusetts Medical Center, Worcester.
J Am Acad Orthop Surg. 1995 Jan;3(1):22-33. doi: 10.5435/00124635-199501000-00004.
Traumatic injuries of the scapula and the scapulothoracic articulation have received little attention in the literature, since they are uncommon. Scapular fractures constitute only 1% of fractures in general, and scapulothoracic dissociations and dislocations are extremely rare. The vast majority can and should be managed nonoperatively. However, recent experience has shown that injuries that involve significant displacement can have long-term adverse functional consequences for both the shoulder complex and the upper extremity as a whole. In these situations, surgery should at least be considered. Various scapular fractures and dislocations are discussed, with particular emphasis on those requiring operative care.
肩胛骨及肩胛胸壁关节的创伤性损伤在文献中很少受到关注，因为它们并不常见。肩胛骨骨折仅占全身骨折的1%，肩胛胸壁分离和脱位极为罕见。绝大多数此类损伤可以且应该采用非手术治疗。然而，最近的经验表明，涉及明显移位的损伤可能会对肩部复合体及整个上肢产生长期的不良功能后果。在这些情况下，至少应考虑手术治疗。本文讨论了各种肩胛骨骨折和脱位，特别强调了那些需要手术治疗的情况。
