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肩胛骨体粉碎性骨折:三例在整脊治疗环境中保守治疗的病例报告。

Comminuted scapular body fractures: A report of three cases managed conservatively in chiropractic settings.

作者信息

Scarano Julie Lynn, Richardson Matthew, Taylor John A

机构信息

Palmer College of Chiropractic Florida Campus, 4705 S Clyde Morris Blvd, Port Orange, FL 32129.

出版信息

J Can Chiropr Assoc. 2013 Jun;57(2):176-84.

PMID:23754863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3661185/
Abstract

Fractures of the scapula are relatively uncommon. Fractures specific to the scapular body comprise 35-65% of these fractures. Currently, 99% of all isolated scapular body fractures are being treated nonoperatively with an immobilizing sling or brace and some form of manual therapy with an 86% success rate. We present the conservative management of three patients with comminuted fractures involving the scapular body that were managed in chiropractic settings. Residual disabilities in these three patients as measured by a standardized outcome tool were 2%, 5% and 23% after 3 years, 2 years, and 6 years respectively.

摘要

肩胛骨骨折相对少见。肩胛体特有的骨折占这些骨折的35% - 65%。目前,所有孤立的肩胛体骨折中有99%采用非手术治疗,使用固定吊带或支具,并辅以某种形式的手法治疗,成功率为86%。我们介绍了在整脊环境中对3例涉及肩胛体粉碎性骨折患者的保守治疗。通过标准化结局工具测量,这3例患者在3年、2年和6年后的残留残疾率分别为2%、5%和23%。

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本文引用的文献

1
Outcomes of nonoperatively treated displaced scapular body fractures.非手术治疗移位肩胛体骨折的结果。
Clin Orthop Relat Res. 2011 May;469(5):1459-65. doi: 10.1007/s11999-010-1670-4. Epub 2010 Dec 16.
2
Fracture of the scapular body: functional outcome after conservative treatment.肩胛体骨折:保守治疗后的功能结果
J Shoulder Elbow Surg. 2009 May-Jun;18(3):443-8. doi: 10.1016/j.jse.2009.01.030.
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Scapular fracture: lower severity and mortality.肩胛骨骨折:严重程度和死亡率较低。
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Causes of delayed diagnosis of scapular fractures.肩胛骨折延迟诊断的原因。
Injury. 2008 Mar;39(3):314-8. doi: 10.1016/j.injury.2007.10.014.
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Treatment of scapula fractures: systematic review of 520 fractures in 22 case series.肩胛骨骨折的治疗:对22个病例系列中的520例骨折进行系统评价。
J Orthop Trauma. 2006 Mar;20(3):230-3. doi: 10.1097/00005131-200603000-00013.
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Multiple trauma and scapula fractures: so what?多发伤与肩胛骨骨折:那又怎样?
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Scapular body nonunion: a case report.肩胛骨体骨不连:一例报告
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