Imatani R J
J Trauma. 1975 Jun;15(6):473-8. doi: 10.1097/00005373-197506000-00002.
A series of 53 fractures of the scapula has been reviewed. Almost three fourths of our patients were injuried in automobile or motorcycle accidents in which severe force was applied to the shoulder region. There is rarely a problem in diagnosis, but one may need to take special roentgenographic views to delineate the extent of the fracture clearly. A geographic classification of these fractures was used, and it was found that 66% occur in the region of the scapular neck. It was emphasized that 81% of these patients had other associated injuries, many of which were life threatening. Symptomatic immobilization of the scapular fracture seems to be adequate for the vast majority, if not all, patients.
对53例肩胛骨骨折病例进行了回顾性研究。几乎四分之三的患者因汽车或摩托车事故受伤,肩部受到了强大外力。诊断很少出现问题,但可能需要拍摄特殊的X线片以清晰显示骨折范围。采用了这些骨折的一种区域分类方法,发现66%的骨折发生在肩胛颈区域。需要强调的是,这些患者中有81%还伴有其他损伤,其中许多危及生命。对于绝大多数(即使不是所有)患者,对肩胛骨骨折进行对症固定似乎就足够了。