Wilber M C, Evans E B
J Bone Joint Surg Am. 1977 Apr;59(3):358-62.
In forty patients treated at The University of Texas Medical Branch Hospitals for fifty-two fractures of forty-one scapulae from 1961 through 1973, most of the fractures were the result of vehicular accidents. The thirty-eight fractures involving only the body, neck, or spine of thirty scapulae (without involvement of the acromion, glenoid, or coracoid process) were successfully treated with a sling and early active motion. Three other fractures involving body were associated with three fractures involving the glenoid. The eleven fractures of the acromiom, glenoid, or coracoid process resulted in loss of motion in ten of the eleven shoulders. For fractures of this type we now recommend immobilization in 60 degrees of abduction, 25 degrees of flexion, and 25 degrees of external rotation, with early active abduction exercises. Open reduction is rarely indicated, only when there is disruption of the glenohumeral joint.
1961年至1973年期间，在得克萨斯大学医学分校医院接受治疗的40例患者中，41块肩胛骨发生了52处骨折，其中大部分骨折是由交通事故导致的。30块肩胛骨仅累及体部、颈部或脊柱的38处骨折（未累及肩峰、关节盂或喙突）通过吊带固定和早期主动活动得到了成功治疗。另外3处累及体部的骨折与3处累及关节盂的骨折相关。11处肩峰、关节盂或喙突骨折导致11个肩部中的10个出现活动受限。对于这种类型的骨折，我们现在建议在外展60度、屈曲25度和外旋25度位固定，并早期进行主动外展练习。很少需要切开复位，仅在盂肱关节脱位时才进行。
