Khallaf F, Mikami A, Al-Akkad M
Department of Orthopedics, Al-Jahra Hospital, Kuwait.
Med Princ Pract. 2006;15(6):443-8. doi: 10.1159/000095491.
To evaluate the use of surgical management in displaced scapular neck fractures.
14 adult male patients (average age 34 years, range 19-44) with displaced scapular neck fractures were treated by open reduction and internal fixation in Al-Jahra Hospital, Kuwait from April 2000 to January 2004. Patients' clinical and radiological results were analyzed retrospectively.
The average follow-up was 20 months (range 6-30 months). Anatomical or near-anatomical reduction of the fracture with excellent clinical function was obtained in 12 patients (86%) and with good functional outcome in 2 patients (14%). One patient with associated head injury developed heterotopic ossification connected to the lateral border of the scapula.
The results of this report show that open reduction and internal fixation of grossly displaced scapular neck fractures are the treatment of choice for these injuries to restore the normal biomechanics of both glenohumeral and scapulothoracic joints and allow favorable clinical outcome.
评估手术治疗移位肩胛颈骨折的应用情况。
2000年4月至2004年1月期间，科威特贾赫拉医院对14例成年男性移位肩胛颈骨折患者（平均年龄34岁，范围19 - 44岁）进行切开复位内固定治疗。对患者的临床及影像学结果进行回顾性分析。
平均随访20个月（范围6 - 30个月）。12例患者（86%）实现骨折解剖复位或近乎解剖复位，临床功能优良；2例患者（14%）功能结果良好。1例合并头部损伤的患者出现与肩胛外侧缘相连的异位骨化。
本报告结果表明，对于严重移位的肩胛颈骨折，切开复位内固定是恢复盂肱关节和肩胛胸壁关节正常生物力学并获得良好临床结果的首选治疗方法。
