Krtička M, Ira D
Klinika úrazové chirurgie Fakultní nemocnice Brno.
Acta Chir Orthop Traumatol Cech. 2016;83(3):194-7.
Displaced fractures of the acromion are rare injuries. A 45-year-old lady presented with an isolated acromion fracture (type III, Kuhn classification) resulting from a direct blow to the top of her right shoulder in a fall while skiing. After standard clinical and radiological examination of the shoulder, an open reduction and internal plate fixation using a postero-superior approach to the scapula was performed. Early rehabilitation of the arm and shoulder was initiated. At 50 days after surgery the patient achieved a full range of motion in her right shoulder and muscle strength equal to that of the contralateral extremity. By 12 weeks radiographic union of the fracture was recorded. The final functional outcome after open reduction and internal plate fixation of the fracture was comparable with results reported in the literature and, in comparison with conservative treatment, the risk of non-union was significantly reduced.
acromion fracture, scapula, osteosynthesis.
肩峰移位骨折是罕见的损伤。一名45岁女性因滑雪摔倒时右肩部顶部受到直接撞击，导致孤立性肩峰骨折（库恩分类法III型）。在对肩部进行标准临床和放射学检查后，采用肩胛骨后上入路进行切开复位内钢板固定术。术后早期开始进行手臂和肩部康复。术后50天时，患者右肩部达到了全范围活动，肌肉力量与对侧肢体相当。至12周时，骨折处影像学显示愈合。骨折切开复位内钢板固定术后的最终功能结果与文献报道结果相当，与保守治疗相比，骨不连风险显著降低。
肩峰骨折；肩胛骨；骨固定术
