Guttentag I J, Rechtine G R
Department of Orthopaedic Surgery at the Montefiore/Albert Einstein Medical Center, Bronx, New York.
Orthop Rev. 1988 Feb;17(2):147-58.
Scapular fractures, a relatively uncommon injury, most often result from major trauma. This paper categorizes the different types of scapular fractures; outlining clinical presentation, diagnosis, treatment, and complications. The importance of a good physical examination is stressed; as overlooking a soft tissue injury (i.e., pneumothorax, neurovascular tear, cerebral contusion) commonly associated with scapular fractures may be life-threatening. Scapular fractures are commonly treated nonoperatively. However, when glenohumeral joint function is impaired, surgery may be indicated after patient age, occupation, and clinical status are evaluated.
肩胛骨骨折是一种相对少见的损伤，大多由严重创伤所致。本文对不同类型的肩胛骨骨折进行了分类；概述了临床表现、诊断、治疗及并发症。强调了体格检查的重要性；因为忽视与肩胛骨骨折常伴发的软组织损伤（如气胸、神经血管撕裂、脑挫伤）可能会危及生命。肩胛骨骨折通常采用非手术治疗。然而，当肩肱关节功能受损时，在评估患者年龄、职业及临床状况后，可能需要进行手术。
