McGinnis M, Denton J R
Division of Orthopaedic Surgery, Catholic Medical Center of Brooklyn and Queens, New York.
J Trauma. 1989 Nov;29(11):1488-93.
Forty fractured scapulae in 39 patients treated by nonoperative means were retrospectively reviewed. The nature of injury, associated injuries, site of fracture, and results were evaluated. The data obtained in this series were compared to data from previous studies. Various associated injuries were found in these patients with scapula fractures. Many of these injuries were life threatening although some could have been easily overlooked on initial presentation. Adequate followup was achieved in 67% of the patients. Seventy-three per cent of the patients had good to excellent results using the criteria of subjective complaints, strength, and range of motion. Three of the 39 patients had poor results. These were multiply injured patients or elderly patients in whom early range of motion was not done.
对39例采用非手术方法治疗的40例肩胛骨折患者进行了回顾性研究。评估了损伤的性质、合并损伤、骨折部位及结果。将本系列获得的数据与以往研究的数据进行了比较。在这些肩胛骨折患者中发现了各种合并损伤。其中许多损伤危及生命，尽管有些在初次就诊时很容易被忽视。67%的患者获得了充分的随访。按照主观症状、力量和活动范围的标准，73%的患者结果为良好至优秀。39例患者中有3例结果不佳。这些患者为多发伤患者或未早期进行活动范围训练的老年患者。
