Surgery for scapula process fractures: good outcome in 26 patients.
Background Generally, scapula process fractures (coracoid and acromion) have been treated nonoperatively with favorable outcome, with the exception of widely displaced fractures. Very little has been published, however, regarding the operative management of such fractures and the literature that is...
| Published in: | Acta Orthopaedica Vol. 80; no. 3; pp. 344 - 351 |
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| Main Authors: | , , , , |
| Format: | diagnostic images pictorial research Journal Article |
| Published: |
Medical Journals Sweden AB
Jun2009
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105398010&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105398010 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17453674 1BVL jtl: Acta Orthopaedica issn: 17453674 maglogo: N pubinfo: dt: Jun2009 vid: 80 iid: 3 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 105398010 105398010 2010361724 10.3109/17453670903025394 NLM19857183 105398010 ppf: 344 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Surgery for scapula process fractures: good outcome in 26 patients. aug: au: Anavian J Wijdicks CA Schroder LK Vang S Cole PA affil: Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, USA sug: subj: Shoulder Fractures Surgery Adolescence Adult Aged Dynamometry Female Funding Source Middle Age Questionnaires Record Review Shoulder Fractures Therapy Human Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female ab: Background Generally, scapula process fractures (coracoid and acromion) have been treated nonoperatively with favorable outcome, with the exception of widely displaced fractures. Very little has been published, however, regarding the operative management of such fractures and the literature that is available involves very few patients. Our hypothesis was that operative treatment of displaced acromion and coracoid fractures is a safe and effective treatment that yields favorable surgical results. Methods We reviewed 26 consecutive patients (27 fractures) treated between 1998 and 2007. Operative indications for these process fractures included either a painful nonunion, a concomitant ipsilateral operative scapula fracture, >/= 1 cm of displacement on X-ray, or a multiple disruption of the superior shoulder suspensory complex. All patients were followed until they were asymptomatic, displayed radiographic fracture union, and had recovered full motion with no pain. Patients and results 21 males and 5 females, mean age 36 (1867) years, were included in the study. 18 patients had more than one indication for surgery. Of the 27 fractures, there were 13 acromion fractures and 14 coracoid fractures. 1 patient was treated for both a coracoid and an acromion fracture. Fracture patterns for the acromion included 6 acromion base fractures and 7 fractures distal to the base. Coracoid fracture patterns included 11 coracoid base fractures and 3 fractures distal to the base. Mean follow-up was 11 (242) months. All fractures united and all patients had recovered full motion with no pain at the time of final follow-up. 3 patients underwent removal of hardware due to irritation from hardware components that were too prominent. There were no other complications. Interpretation While most acromion and coracoid fractures can be treated nonoperatively with satisfactory results, operative management may be indicated for displaced fractures and double lesions of the superior shoulder suspensory complex. pubtype: Academic Journal doctype: diagnostic images pictorial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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