Chirurgie de l'épaule, Service d'Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland
Chirurgie de l'épaule, Service d'Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland.
BMJ Case Rep. 2020 Sep 10;13(9):e234727. doi: 10.1136/bcr-2020-234727.
We report the case of a 74-year-old woman who sustained a scapular spine (SS) fracture after a fall 4 weeks after reverse shoulder arthroplasty (RSA). Open reduction and internal fixation (ORIF) with locked 90°-double plating resulted in union of the SS fracture with a good outcome (subjective shoulder value: 80%; Constant score 67; 1 year) despite of an adjacent lateral acromion fracture 3 weeks after ORIF. This is the second description in the literature of a successful double plate ORIF with union of an SS fracture after RSA. SS fractures are known to lead to poor RSA outcomes with a high mal-union rate and non-union rate. We describe the positioning of the plates and technical steps for successful ORIF to avoid complications, discuss the aftercare and report the outcome.
我们报告了一例 74 岁女性的病例，该患者在 RSA 后 4 周因跌倒导致肩胛脊柱（SS）骨折。采用锁定 90°双钢板进行切开复位内固定（ORIF）后，SS 骨折愈合，结果良好（主观肩部值：80%；Constant 评分 67；1 年），尽管在 ORIF 后 3 周相邻的外侧肩峰骨折。这是文献中第二次描述 RSA 后 SS 骨折成功的双钢板 ORIF，且愈合。SS 骨折已知会导致 RSA 结果不佳，畸形愈合率和不愈合率高。我们描述了成功的 ORIF 的钢板定位和技术步骤，以避免并发症，讨论了后续护理并报告了结果。
