Scapular fractures

Czech version

Authors: J. Bartoníček ^1,2; M. Tuček ¹; O. Naňka ²
Authors‘ workplace: Klinika ortopedie 1. LF UK a ÚVN Praha přednosta: prof. MUDr. J. Bartoníček, DrSc. ¹; Anatomický ústav 1. LF UK Praha přednosta: prof. MUDr. K. Smetana, DrSc. ²
Published in: Rozhl. Chir., 2015, roč. 94, č. 10, s. 393-404.
Category: Monothematic special - Summary statement

Overview

Scapular fractures are still a challenge in traumatology of the musculoskeletal apparatus. Their proper understanding is impossible without fundamental anatomical and clinical knowledge. A considerable part of scapular fractures is associated with other severe injuries, particularly to the chest. Essential for diagnosis and treatment of these fractures is radiographic examination, primarily both Neer projections and 3D CT reconstructions. The classifications used so far should be revised as they do not reflect real types of these fractures. Operative treatment should be considered in displaced scapular fractures. Such treatment is not urgent as these fractures may be operated on within up to three weeks of the primary injury. Due to the fact that this is a severe but rare injury, they should be referred to specialized centres.

Key words:
scapular fractures − classification of scapular fractures − operative treatment of scapular fractures

Sources

1. Bartoníček J, Cronier P. History of the treatment of scapula fractures. Arch Orthop Trauma Surg 2010;130:83–92.

2. Bartoníček J, Tuček M, Luňáček L. Judetův zadní přístup k lopatce. Acta Chir Orthop Traumatol Čech 2008;75:429–35.

3. Bartoníček J, Frič V, Tuček M. Radiodiagnostika zlomenin lopatky. Rozhl Chir 2009;88:84–8.

4. Bartoníček J, Frič V, Tuček M. Intra-operative reduction of the scapular body – a technical trick. J Orthop Trauma 2009;23:294–8.

5. Bartoníček J, Frič V, Tuček M. Zlomeniny lopatky. Diagnostika-klasifikace-terapie. Ortopedie 2010;4:151–6.

6. Bartoníček J, Tuček M, Frič V. Operační léčba zlomenin lopatky. Ortopedie 2010;4:204–10.

7. Tuček M, Bartoníček J. Přidružená poranění u zlomenin lopatky. Rozhl Chir 2010;89:288–92.

8. Tuček M, Bartoníček J, Frič V. Kostní anatomie lopatky: Její význam pro klasifikaci zlomenin těla lopatky. Ortopedie 2011;5:104–9.

9. Bartoníček J, Frič V. Scapular body fractures: results of the operative treatment. Inter Orthop 2011;35:747–53.

10. Bartoníček J, Tuček M. Historie léčby zlomenin lopatky. Ortopedie 2012;6:133–140.

11. Chochola A, Tuček M, Bartoníček J, et al. CT-diagnostika zlomenin lopatky. Rozhl Chir 2013;92:385–8.

12. Bartoníček J, Tuček M, Frič V. Fractures of the anatomical neck of the scapula. Two cases and review of the literature. Arch Orthop Trauma Surg 2013;133:1115–9.

13. Bartoníček J, Tuček M, Frič V, et al. Fractures of the scapular neck. Diagnosis-Classifications-Treatment. Inter Orthop 2014;38:2163–73.

14. Tuček M, Naňka O, Malík J, Bartoníček J. Scapular glenopolar angle: Standard values and side differences. Skelet Radiol 2014;43:1583–7.

15. Bartoníček J. Scapular fractures. In Court-Brown CH, Heckman AD, McMqQueen, Ricci WM, Tornetta P (eds). Rockwood and Green´s Fractures in Adults. 8th edition. Philadelphia, Wolters Kluwer 2015:1475–1501.

16. Reggio AW. Fracture of the shoulder girdle. In: Wilson PD (ed). Experience in the management of fractures and dislocations, based on an analysis of 4390 cases. Philadelphia, Lippincott 1938:370–4.

17. Court-Brown Ch, McQueen MM, Tornetta P. Trauma (Shoulder girdle). Philadelphia, Lippincot, Williams and Wilkins 2006:68–88.

18. Zhang Y. Scapular fractures. In: Clinical epidemiology of orthopedic trauma. Stuttgart, Thieme 2012:580–617.

19. Cole PA, Marek DJ. Shoulder girdle injuries. In: Standard JP, Schmidt AH, Gregor PJ (eds). Surgical treatment of orthopaedic trauma. New York: Stuttgart, Thieme 2007:207–37.

20. Cole PA, Gauger EM, Schroder LK. Management of scapular fractures. J Am Acad Orthop Surg 2012;20:130–41.

21. Goss TP. Fractures of the scapula. In: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB (eds). The Shoulder. 3rd edition. Philadelphia, Saunders 2004:413–54.

22. McAdams TR, Blevins FT, Martin TP, et al. The role of plain films and computed tomography in the evaluation of scapula neck fractures. J Orthop Trauma 2002;16:7–11.

23. Bestard EA, Schvene HR, Bestard EH. Glenoplasty in management of recurrent shoulder dislocation. Contemp Orthop 1986;12:47–55.

24. Pace AM, Stuart R, Brownlow H. Outcome of glenoid neck fractures. J Shoulder Elbow Surg 2005;14:585–90.

25. Ada JR, Miller ME. Scapula fractures. Analysis of 113 cases. Clin Orthop Rel Res 1991;269:174–80.

26. Euler E, Habermeyer P, Kohler W, et al. Skapulafrakturen – Klassifikation und Differentialtherapie. Orthopädie 1992;21:158–62.

27. Ideberg R, Grevsten S, Larsson S. Epidemiology of scapular fractures. Acta Orthop Scand 1995;66:395–97.

28. Orthopaedic Trauma Association Fracture and dislocation compendium. Scapular fractures. J Orthop Trauma. 2007;Suppl 1;68–71.

29. Magerl F. Osteosynthesen im Bereich der Schulter. Helv Chir Acta 1974;41:225–32.

30. Hardegger F, Simpson LA, Weber BG. The operative treatment of scapular fractures. J Bone Joint Surg [Br] 1984;66–B:725–31.

31. Hersovici D, Roberts CS. Scapula fractures: to fix or not to fix? J Orthop Trauma 2006;20:227–29.

32. Zlowodski M, Bhandari M, Zelle BA, et al. Treatment of scapula fractures: systematic review of 520 fractures in 22 case series. J Orthop Trauma 2006;20:230–3.

33. Judet R. Traitement chirurgical des fractures de l´omoplate. Acta Orthop Belg 1964;30:673–8.

34. Schandelmaier P, Blauth M, Schneider C, et al. Fractures of the glenoid treated by operation. J Bone Joint Surg [Br] 2002;84–B:173–7.

35. Cole PA, Gauger EM, Herrera DA, et al. Radiographic follow-up of 84 operatively treated scapula neck and body fractures. Injury 2012;43:327–33.

36. Marek DJ, Sechriest VF, Swiontkowski MF, et al. Case report: reconstruction of a recalcitrant scapular neck nonunion and literature review. Clin Orthop Relat Res 2009;467:1370–6.

37. Bauer G, Fleuschmann W, Dussler E. Displaced scapular fractures: indication and long-term results of open reduction and internal fixation. Arch Orthop Trauma Surg 1995;114:215–9.

38. Lantry JM, Roberts CS, Giannoudis PV. Operative treatment of scapular fractures: A systematic review. Injury 2008;39:271–83.

39. Adam FF. Surgical treatment of displaced fractures of the glenoid cavity. Inter Orthop (SICOT) 2002;26:150–3.

40. Cole PA, Talbot M, Schroder LK, et al. Extra-articular malunions of the scapula: A comparison of functional outcome before and after reconstruction. J Orthop Trauma 2011;25:649–56.

Labels

Surgery Orthopaedics Trauma surgery

Kocher approach to the elbow and its options

Approaches to radial shaft

Internal fixation of radial shaft fractures: Anatomical and biomechanical principles

Surgical treatment of acromioclavicular dislocation: Tension band wiring versus hook plate

Article was published in

Perspectives in Surgery

2015 Issue 10