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肩胛骨骨折治疗中的当前挑战与争议：综述

Current challenges and controversies in the management of scapular fractures: a review.

作者信息

Pires Robinson Esteves, Giordano Vincenzo, de Souza Felipe Serrão Mendes, Labronici Pedro José

机构信息

Departamento do Aparelho Locomotor, Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena, 190, Santa Efigênia, Belo Horizonte, MG, Brazil.

Serviço de Ortopedia e Traumatologia, Instituto Orizonti, Belo Horizonte, MG, Brazil.

出版信息

Patient Saf Surg. 2021 Jan 6;15(1):6. doi: 10.1186/s13037-020-00281-3.

DOI:10.1186/s13037-020-00281-3
PMID:33407725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7789406/
Abstract

Fractures of the scapula are rare and usually associated with high-energy trauma. The unfavorable scapular anatomy, combined with the complexity of the approaches for fracture fixation, make the treatment challenging, even for experienced surgeons. Furthermore, the literature is controversial regarding surgical indications and rationale for treatment. The present review article was designed to address and discuss critical aspects of decision-making for the management of scapular fractures, including surgical indications and patient safety considerations.

摘要

肩胛骨骨折较为罕见，通常与高能量创伤相关。肩胛骨解剖结构不佳，再加上骨折固定方法的复杂性，使得治疗颇具挑战性，即使对于经验丰富的外科医生也是如此。此外，关于手术指征和治疗原理，文献中存在争议。本综述文章旨在探讨和讨论肩胛骨骨折治疗决策的关键方面，包括手术指征和患者安全考量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/4ca444288c4d/13037_2020_281_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/435ecc160233/13037_2020_281_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/4070c8db9d9e/13037_2020_281_Fig2_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/6fc497f66de5/13037_2020_281_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/33fa78f41a4e/13037_2020_281_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/9d4c84426cc7/13037_2020_281_Fig7_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/2b11ec686d67/13037_2020_281_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/4ca444288c4d/13037_2020_281_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/435ecc160233/13037_2020_281_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/4070c8db9d9e/13037_2020_281_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/3839fc2a574c/13037_2020_281_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/9a1cc4b9d895/13037_2020_281_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/6fc497f66de5/13037_2020_281_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/33fa78f41a4e/13037_2020_281_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/9d4c84426cc7/13037_2020_281_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/f35c1bd4ed64/13037_2020_281_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/27d5ea0cfd1b/13037_2020_281_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/2b11ec686d67/13037_2020_281_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b4/7789406/4ca444288c4d/13037_2020_281_Fig11_HTML.jpg

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