Zahid M, Rashid E H, Inam H, Zubairi A J, Baloch N, Hashmi P M
Acta Orthop Belg. 2017 Mar;83(1):16-21.
Scapular fractures are rare injuries and usually occur due to high energy trauma. Displaced Intra articular fractures usually require operative treatment and yields better outcomes as compared to conservative management. To assess the functional and radiological outcomes of displaced intra-articular scapular fractures managed with open reduction and internal fixation. 12 patients were retrospectively reviewed and included in the study. Post-operative functional outcomes were assessed using mean quick DASH (Disability of arm, hand and shoulder) score while radiological outcomes were analyzed as percentage of implant cut-through, mal-union, non-union or infection. The mean follow up was 14 months. Mean age was 40 years. The mean quick DASH score was 7.19 +/- 4.86. All of the patients had successful clinical and radiological healing and pain-free movements. Open reduction and internal fixation in displaced intra-articular scapular-fractures yields excellent and promising outcomes.
肩胛骨折是罕见的损伤,通常由高能量创伤引起。移位的关节内骨折通常需要手术治疗,与保守治疗相比,手术治疗能产生更好的效果。为评估切开复位内固定治疗移位关节内肩胛骨折的功能和影像学结果。对12例患者进行回顾性分析并纳入研究。术后功能结果采用平均快速DASH(上肢、手和肩部功能障碍)评分进行评估,而影像学结果则分析植入物穿透、畸形愈合、不愈合或感染的百分比。平均随访时间为14个月。平均年龄为40岁。平均快速DASH评分为7.19±4.86。所有患者均获得了成功的临床和影像学愈合,且活动时无疼痛。切开复位内固定治疗移位关节内肩胛骨折可产生优异且令人满意的结果。