McGrath Jonathan, Hind Jamie, Hamlet Mark, Ashwood Neil
Medicine, School of Medicine, University of Leicester, Leicester, GBR.
Trauma and Orthopaedics, University Hospitals of Derby and Burton National Health Service Foundation Trust, Derby, GBR.
Cureus. 2020 Dec 2;12(12):e11840. doi: 10.7759/cureus.11840.
Scapular fractures are uncommon, and the spine of the scapula is a particularly rare site of injury. As a result, our knowledge of these injuries, the management options and the functional outcome is limited. We report a rare case of a scapular spine fracture in a patient with rotator cuff arthropathy with no obvious history of trauma. The pathophysiology behind this is unclear; however, we suggest that a combination of cuff arthropathy, steroid use and chronic cough contributed to it. Reverse total shoulder arthroplasty is commonly used to treat rotator cuff arthropathy, and the effect of scapular spine fractures on surgical outcomes is unknown. It is possible that the deltoid function provides a better indicator of post-operative outcomes.
肩胛骨折并不常见，肩胛冈更是特别罕见的损伤部位。因此，我们对这些损伤、治疗选择及功能预后的了解有限。我们报告1例罕见的肩胛冈骨折患者，该患者患有肩袖关节病，无明显外伤史。其背后的病理生理机制尚不清楚；不过，我们认为肩袖关节病、使用类固醇及慢性咳嗽共同导致了这一情况。反式全肩关节置换术常用于治疗肩袖关节病，肩胛冈骨折对手术预后的影响尚不清楚。三角肌功能可能是术后预后的更好指标。
