Gagey O, Curey J P, Mazas F
Rev Chir Orthop Reparatrice Appar Mot. 1984;70(6):443-7.
The authors have studied a series of 43 fractures of the scapula. They confirm the results are generally good. However, 12 displaced fractures of the neck of the scapula have been seen. All were treated conservatively with only one good result, the other results being fair or poor. These results are explained by the fact that displaced fractures of the neck disorganize the coraco-acromial arch. This type of fracture should be surgically treated as an articular fracture by open reduction and plate fixation. Fractures of the glenoid should also be treated surgically.
作者研究了一系列43例肩胛骨骨折。他们证实结果总体良好。然而,发现了12例肩胛骨颈部移位骨折。所有这些骨折均采用保守治疗,只有1例效果良好,其他结果为一般或较差。这些结果可以解释为颈部移位骨折会破坏喙肩弓。这种类型的骨折应作为关节骨折通过切开复位和钢板固定进行手术治疗。肩胛盂骨折也应进行手术治疗。