Surgical treatment of scapular fractures
Objectives: To evaluate the findings and results in patients
who were treated surgically for scapular fractures.
Methods: Six patients (4 females, 2 males; mean age 40
years; range 25 to 59 years) with scapular fractures were
treated by open reduction and internal fixation. All the fractures
were caused by traffic accidents and all the patients had
associated injuries. Four patients had scapular neck fractures,
three of whom had accompanying ipsilateral clavicular fractures.
In two patients, the fractures involved the glenoid
fossa. The mean follow-up period was 27 months (range 18
to 38 months). Functional evaluations were made according
to the scoring system described by Herscovici et al.
Results: The results were excellent in four patients, good in
one, fair in one patient. Four patients had no pain. Three
patients returned to preinjury jobs. Two patients who were
housewives were able do their housework. The range of
movement was greater than 120 degrees in both abduction
and flexion, and the muscle strength was 5 in four patients.
No postoperative complications were encountered.
Conclusion: Open reduction and stabilization followed
by early rehabilitation may be successful in preventing
stiffness, pain, and disability in scapular neck fractures
accompanied by ipsilateral clavicle fractures, or fractures
involving the glenoid fossa and leading to significant displacement.
Irfan ESENKAYA Acta Orthop Traumatol Turc 2003;37(1):33-40 Full text (author's translation)
Type: Reference Material
Author/Contact: Irfan ESENKAYA
Institution: Not Available
Submitted by: admin
Added: Sun Nov 15 2009