Memişoğlu Serdar, Yılmaz Barış, Aktaş Erdem, Kömür Baran
Private Primer Hospital, Gaziantep, Turkey.
Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Ann Med Surg (Lond). 2015 Jul 29;4(3):235-7. doi: 10.1016/j.amsu.2015.07.015. eCollection 2015 Sep.
Scapular fractures are generally occur from in high-energy traumas and are associated with a high incidence of morbidity and mortality.
We present an unusual scapular fracture that occurred with a rare mechanism. A 23-year-old male patient who led an active sports life for 10 years and played ice hockey for the last 5 years. In a competition, he felt a sudden pain in his right scapula after hit the puck. He did not experience any direct trauma to his shoulder and there was no evidence of any pathological fracture. The fracture was isolated in the scapular body and it was classified as type 4, according to Hardegger classification. The was patient immobilized with a Velpau bandage for three weeks and then treated with physiotherapy for shoulder rehabilitation.
The fracture mechanism was likely a disharmonius contracture of the agonist and antagonist muscles of the shoulder joint while hitting the puck.
Scapular fractures are generally seen along with other injuries, but in this case we wanted to emphasize that care has to been taken to diagnose an isolated scapular fracture while assessing shoulder pain.
肩胛骨折通常发生于高能量创伤，且发病率和死亡率较高。
我们呈现一例机制罕见的不寻常肩胛骨折。一名23岁男性患者，有10年积极运动史，近5年从事冰球运动。在一场比赛中，他击球后右肩胛骨突然疼痛。他的肩部未遭受任何直接创伤，也没有病理性骨折的证据。骨折孤立于肩胛体，根据哈代格分类法分类为4型。患者用Velpau绷带固定三周，然后接受肩部康复物理治疗。
骨折机制可能是击球时肩关节主动肌和拮抗肌不协调挛缩。
肩胛骨折通常与其他损伤同时出现，但在此病例中我们想强调，在评估肩部疼痛时必须注意诊断孤立性肩胛骨折。
