如何处理肩胛盂骨折。

Frich Lars Henrik, Larsen Morten Schultz

Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Denmark.

EFORT Open Rev. 2017 May 11;2(5):151-157. doi: 10.1302/2058-5241.2.160082. eCollection 2017 May.

The glenoid fossa is involved in approximately 10% of all scapular fractures.Glenoid fossa incongruity is surprisingly well tolerated.Surgery is recommended when 20% or more of the anterior glenoid fossa is involved.Glenoid rim fractures often lead to chronic shoulder instability.Unstable glenoid neck fractures need surgical treatment and stable fractures can be treated conservatively.CT examination with 3D reformations of the glenoid fossa has improved insight into fracture morphology and fracture patterns and is very helpful for clinical decision makers. Cite this article: 2017;2. DOI: 10.1302/2058-5241.2.160082. Originally published online at www.efortopenreviews.org.

肩胛盂骨折约占所有肩胛骨骨折的10%。令人惊讶的是，肩胛盂不平整的情况耐受性良好。当肩胛盂前侧20%或更多区域受累时，建议进行手术。肩胛盂边缘骨折常导致慢性肩关节不稳定。不稳定的肩胛盂颈部骨折需要手术治疗，稳定骨折可保守治疗。对肩胛盂进行三维重建的CT检查提高了对骨折形态和骨折类型的认识，对临床决策者非常有帮助。引用本文：2017；2。DOI：10.1302/2058-5241.2.160082。最初在线发表于www.efortopenreviews.org。