Tuček M, Chochola A, Klika D, Bartoníček J
Acta Orthop Belg. 2017 Mar;83(1):8-15.
The aim of the study has been to acquire basic epidemiological data based on a representative group of patients with scapular fractures treated in one centre. The study analyses group of 250 patients. Diagnostics was based on CT examinations, in 227 cases with 3D reconstructions, in 97 cases compared with operative findings. Fractures were classified according to the modified anatomical classification of Tscherne and Christ. The analysed groups of patients include only the fracture lines whose existence has been verified by 3D CT reconstructions and intraoperative findings. The most common fracture in the group was that of the scapular body (52%), followed by fractures of the glenoid fossa (29%), fractures of the processes (11%) and fractures of the scapular neck (8%). The most frequent associated injuries to the ipsilateral shoulder girdle were clavicular fractures (19%). Scapular fractures occur primarily in men, predominantly in 4th - 6th decades (66 % patients). The group of women was significantly older as compared to men (p = 0.017). The group of patients with scapular neck fractures was significantly younger as compared to the age of patients with glenoid fracture (p = 0.021) and scapular body fracture (p = 0.035).
本研究的目的是基于在一个中心接受治疗的具有代表性的肩胛骨折患者群体获取基本的流行病学数据。该研究分析了250例患者。诊断基于CT检查，227例进行了三维重建，97例与手术结果进行了对比。骨折根据Tscherne和Christ的改良解剖学分类法进行分类。所分析的患者组仅包括经三维CT重建和术中发现证实存在的骨折线。该组中最常见的骨折是肩胛体骨折（52%），其次是关节盂骨折（29%）、肩胛突骨折（11%）和肩胛颈骨折（8%）。同侧肩胛带最常见的合并伤是锁骨骨折（19%）。肩胛骨折主要发生在男性，主要集中在40至60岁（66%的患者）。女性患者组比男性患者组年龄显著更大（p = 0.017）。肩胛颈骨折患者组比关节盂骨折患者（p = 0.021）和肩胛体骨折患者（p = 0.035）年龄显著更小。
