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游离肩胛冈:一种罕见的肩部损伤。

Free-Floating Scapular Spine: A Rare Shoulder Injury.

作者信息

Cabot John H, Dang Khang H, Dutta Anil K

机构信息

Department of Orthopaedics, UT Health San Antonio, San Antonio, TX 78229, USA.

出版信息

Case Rep Orthop. 2019 Sep 30;2019:1839375. doi: 10.1155/2019/1839375. eCollection 2019.

DOI:10.1155/2019/1839375
PMID:31662932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6791266/
Abstract

A specific treatment protocol for managing scapular spine fractures does not currently exist. The purpose of our report is to describe this type of injury and detail our treatment management in order to better elucidate this rare pathology. We present a case of a 26-year-old female with an acute scapular spine and base fracture after a motor vehicle collision. Successful treatment of an acute free-floating scapular spine fracture was achieved with open reduction and internal fixation utilizing an elbow plate. Since scapular spine fractures are an unfortunate, rare injury, it may impose difficult challenges to the treating surgeon. With our case report, we hope to contribute to the overall knowledge of scapular spine fractures and offer our experience with a successful and appropriate treatment option in our patient.

摘要

目前尚不存在用于处理肩胛冈骨折的特定治疗方案。我们撰写本报告的目的是描述此类损伤,并详细介绍我们的治疗方法,以便更好地阐明这种罕见的病理情况。我们报告一例26岁女性在机动车碰撞后发生急性肩胛冈及肩胛冈基底骨折的病例。通过使用肘板进行切开复位内固定,成功治疗了急性游离肩胛冈骨折。由于肩胛冈骨折是一种不幸的罕见损伤,可能给治疗外科医生带来艰巨挑战。通过我们的病例报告,我们希望能为肩胛冈骨折的整体知识贡献力量,并分享我们在患者身上成功且合适的治疗经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/6037ae8b37f2/CRIOR2019-1839375.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/bb310d90812d/CRIOR2019-1839375.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/55100bc79b79/CRIOR2019-1839375.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/38a8119f27ab/CRIOR2019-1839375.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/4fbcd5233e53/CRIOR2019-1839375.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/3e081aa74926/CRIOR2019-1839375.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/f2b2f7267e5a/CRIOR2019-1839375.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/dd21a0187598/CRIOR2019-1839375.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/6037ae8b37f2/CRIOR2019-1839375.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/bb310d90812d/CRIOR2019-1839375.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/55100bc79b79/CRIOR2019-1839375.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/38a8119f27ab/CRIOR2019-1839375.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/4fbcd5233e53/CRIOR2019-1839375.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/3e081aa74926/CRIOR2019-1839375.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/f2b2f7267e5a/CRIOR2019-1839375.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/dd21a0187598/CRIOR2019-1839375.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b52/6791266/6037ae8b37f2/CRIOR2019-1839375.008.jpg

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本文引用的文献

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J Shoulder Elbow Surg. 2019 Apr;28(4):792-801. doi: 10.1016/j.jse.2018.08.033. Epub 2018 Nov 26.
2
Posterior Scapula Approaches: Extensile and Modified Judet.肩胛冈后入路:广泛的 Judet 改良入路
J Orthop Trauma. 2018 Aug;32 Suppl 1:S10-S11. doi: 10.1097/BOT.0000000000001208.
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Acromial and scapular spine fractures after reverse total shoulder arthroplasty.反式全肩关节置换术后的肩峰和肩胛冈骨折
Shoulder Elbow. 2016 Apr;8(2):90-100. doi: 10.1177/1758573216628783. Epub 2016 Jan 25.
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Scapular Spine Stress Fracture as a Complication of Reverse Shoulder Arthroplasty.肩胛冈应力性骨折作为反肩关节置换术的一种并发症
Radiol Case Rep. 2015 Dec 7;2(2):78-82. doi: 10.2484/rcr.v2i2.105. eCollection 2007.
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Classification and Morphological Parameters of the Scapular Spine: Implications for Surgery.肩胛冈的分类及形态学参数:对手术的意义
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Incomplete avulsion fractures of the scapular spine caused by violent muscle contraction.暴力肌肉收缩导致的肩胛冈不完全撕脱骨折。
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Scapula fractures.肩胛骨骨折。
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