Bartoníček J, Tuček M
Rozhl Chir. 2019 Summer;98(7):273-276.
In 1991, Ada and Miller described a new type of scapular neck fracture. It was a transverse fracture of the scapular body passing from the inferior border of the glenoid to the medial border of the scapular body (their type IIC). This fracture was later designated by Goss as a “fracture of neck inferior to scapula spine“. Since then, this type of fracture has been the cause of a number of controversies, mainly concerning the so-called “floating shoulder”. However, scapular neck fractures can be considered to be only those fractures that separate completely the glenoid from the scapular body. Term “fracture of neck inferior to scapula spine“ does not fit into this definition because it does not compromise the junction between the glenoid fossa and the scapular body. Actually, it is a transverse two-part fracture of the infraspinous part of the scapular body. As a result this term should no longer be used in the literature.
1991年,艾达(Ada)和米勒(Miller)描述了一种新型的肩胛颈骨折。它是肩胛体的横行骨折,从关节盂下边界延伸至肩胛体内侧边界(他们的II C型)。这种骨折后来被戈斯(Goss)命名为“肩胛冈下颈骨折”。从那时起,这种类型的骨折引发了诸多争议,主要涉及所谓的“浮动肩”。然而,肩胛颈骨折仅应被视为那些将关节盂与肩胛体完全分离的骨折。“肩胛冈下颈骨折”这一术语并不符合此定义,因为它并未破坏关节盂窝与肩胛体之间的连接。实际上,它是肩胛体冈下部分的横行两部分骨折。因此,该术语在文献中不应再被使用。