Delayed operative management of fractures of the scapula
- 1 May 2009
- journal article
- Published by British Editorial Society of Bone & Joint Surgery in The Journal of Bone and Joint Surgery. British volume
- Vol. 91 (5), 619-626
- https://doi.org/10.1302/0301-620x.91b5.22158
Abstract
Between 1998 and 2007, 22 patients with fractures of the scapula had operative treatment more than three weeks after injury. The indications for operation included displaced intra-articular fractures, medialisation of the glenohumeral joint, angular deformity, or displaced double lesions of the superior shoulder suspensory complex. Radiological and functional outcomes were obtained for 16 of 22 patients. Disabilities of the Arm, Shoulder, Hand (DASH) and Short form-36 scores were collected for 14 patients who were operated on after March 2002. The mean delay from injury to surgery was 30 days (21 to 57). The mean follow-up was for 27 months (12 to 72). At the last review the mean DASH score was 14 (0 to 41). Of the 16 patients with follow-up, 13 returned to their previous employment and recreational activities without restrictions. No wound complications, infection or nonunion occurred. Malunion of the scapula can be prevented by surgical treatment of fractures in patients with delayed presentation. Surgery is safe, effective, and gives acceptable functional results.Keywords
This publication has 23 references indexed in Scilit:
- Fracture and Dislocation Classification Compendium - 2007Journal of Orthopaedic Trauma, 2007
- CAQ: Orthopaedic Trauma “Damage Control”Journal of Orthopaedic Trauma, 2007
- Outcome of glenoid neck fracturesJournal of Shoulder and Elbow Surgery, 2005
- Corrective Osteotomy for Malunited Fracture of the Glenoid CavityClinical Orthopaedics and Related Research, 2002
- Epidemiology of scapular fractures Incidence and classification of 338 fracturesActa Orthopaedica, 1995
- Operative treatment of displaced intra-articular glenoid fracturesInjury, 1993
- Double Disruptions of the Superior Shoulder Suspensory ComplexJournal of Orthopaedic Trauma, 1993
- Scapular FracturesClinical Orthopaedics and Related Research, 1991
- Displaced Intra-articular Glenoid Fractures Treated by Open Reduction and Internal FixationThe Journal of Trauma and Acute Care Surgery, 1986
- FRACTURES OF THE SCAPULAThe Journal of Trauma and Acute Care Surgery, 1975