Department of Orthopaedic Surgery, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.
Department of Orthopaedic Surgery, New England Baptist Hospital, 125 Parker Hill Avenue, Boston, MA 02120, USA; Boston Sports and Shoulder Center, 840 Winter Street, Waltham, MA 02451, USA.
Orthop Clin North Am. 2021 Jul;52(3):257-268. doi: 10.1016/j.ocl.2021.03.006. Epub 2021 May 7.
Reverse total shoulder arthroplasty (RSA) continues to see tremendous growth as the indications have expanded. A variety of complications have been described, including fractures of the acromion or scapular spine. These fractures are painful and can compromise shoulder stability and functional outcomes following RSA. Multiple studies have recently investigated the incidence, risk factors, and treatment strategies for these injuries. In this article, the authors review current literature and discuss the incidence, cause, associated risk factors, treatment options, and outcomes following fractures of the acromion or scapular spine after RSA.
反向全肩关节置换术（RSA）的适应证不断扩大，其应用也在不断增加。该手术已报道了多种并发症，包括肩峰或肩胛脊柱骨折。这些骨折会引起疼痛，并可能影响 RSA 后的肩部稳定性和功能结果。最近有多项研究探讨了这些损伤的发生率、危险因素和治疗策略。本文作者复习了目前的文献，并讨论了 RSA 后肩峰或肩胛脊柱骨折的发生率、原因、相关危险因素、治疗选择和结果。
