Al-Sadek Tabet A, Niklev Desislav, Al-Sadek Ahmed, Al-Sadek Lina
Department of Orthopaedics and Traumatology, Belhoul European Hospital, Dubai, United Arab Emirates.
Trakia University, Faculty of Medicine, Stara Zagora, Bulgaria.
Open Access Maced J Med Sci. 2016 Dec 15;4(4):688-691. doi: 10.3889/oamjms.2016.135. Epub 2016 Nov 16.
The aim of this retrospective study was to report the scapular fractures in patients with blunt chest trauma and to present the type and the frequency of associated thoracic injuries.
Nine patients with fractures of the scapula were included in the study. The mechanisms of the injury, the type of scapular fractures and associated thoracic injuries were analysed.
Scapular fractures were caused by high-energy blunt chest trauma. The body of the scapula was fractured in all scapular fractures. In all cases, scapular fractures were associated with other thoracic injuries (average 3.25/per case). Rib fractures were present in eight patients, fractured clavicula - in four cases, the affection of pleural cavity - in eight of the patients and pulmonary contusion in all nine cases. Eight patients were discharged from the hospital up to the 15th day. One patient had died on the 3rd day because of postconcussional lung oedema.
The study confirms the role of scapular fractures as a marker for the severity of the chest trauma (based on the number of associated thoracic injuries), but doesn't present scapular fractures as an indicator for high mortality in blunt chest trauma patients.
本回顾性研究旨在报告钝性胸部创伤患者的肩胛骨骨折情况，并呈现相关胸部损伤的类型和频率。
本研究纳入了9例肩胛骨骨折患者。分析了损伤机制、肩胛骨骨折类型及相关胸部损伤情况。
肩胛骨骨折由高能钝性胸部创伤所致。所有肩胛骨骨折均累及肩胛骨体部。所有病例中，肩胛骨骨折均伴有其他胸部损伤（平均每例3.25处）。8例患者存在肋骨骨折，4例有锁骨骨折，8例患者有胸腔受累，所有9例均有肺挫伤。8例患者在第15天前出院。1例患者在第3天因震荡后肺水肿死亡。
本研究证实了肩胛骨骨折作为胸部创伤严重程度标志物的作用（基于相关胸部损伤的数量），但并未表明肩胛骨骨折是钝性胸部创伤患者高死亡率的指标。
