Department of Orthopaedic Surgery, University of Minnesota, Regions Hospital, St. Paul, MN; and.
Department of Orthopaedic Surgery, University of Colorado School of Medicine, Denver Health Medical Center, Denver, CO.
J Orthop Trauma. 2023 Apr 1;37(4):e181-e187. doi: 10.1097/BOT.0000000000002452.
Posterior approaches provide the mainstay for treatment in most of the scapula body and neck fractures, even those associated with many intraarticular variants. Several posterior approach modifications for minimizing soft-tissue damage and limiting muscular detachment, have previously been described in the literature; however, little or no clinical evidence is available specifically applied to the various approaches.In this study, we describe complete sparing of the deltoid muscle origin during the "modified Judet" approach. The modified approach as previously described detaches the deltoid origin. Deltoid sparing allows for satisfactory visualization and fixation of extra-articular scapula fractures and even some intraarticular variants. The purpose of this article was to describe the deltoid-sparing modified Judet approach and report clinical outcomes for 23 patients after surgical treatment.
后路入路是治疗大多数肩胛体和颈骨折的主要方法，即使是那些与许多关节内变异有关的骨折也是如此。文献中已经描述了几种用于最小化软组织损伤和限制肌肉分离的后路入路改良方法;然而，专门应用于各种入路的临床证据很少或没有。在这项研究中，我们描述了在“改良 Judet”入路中完全保留三角肌起点。如前所述，改良入路分离三角肌起点。三角肌保留可满意地观察和固定关节外肩胛骨折，甚至一些关节内变异。本文的目的是描述保留三角肌的改良 Judet 入路，并报告 23 例患者接受手术治疗后的临床结果。
