Decision-making for complex scapula and ipsilateral clavicle fractures: a review.
Introduction: Complex scapula with ipsilateral clavicle fracures remains a challange and treatment recommendations are still missing. This review provides an overview of the evolution of the definition, classification and treatment strategies for complex scapula and ipsilateral clavicle fractures. A...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 45; no. 2; pp. 221 - 231 |
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| Autores principales: | , , , |
| Formato: | diagnostic images pictorial review tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135779032&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135779032 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Apr2019 vid: 45 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 135779032 135779032 135779032 10.1007/s00068-018-0946-3 135779032 ppf: 221 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Decision-making for complex scapula and ipsilateral clavicle fractures: a review. aug: au: Hess, Florian Zettl, Ralph Knoth, Christoph Smolen, Daniel affil: Department of Orthopedic Surgery and Traumatology, Kantonsspital Frauenfeld, Pfaffenholzstrasse 4, 8501, Frauenfeld, Switzerland sug: subj: Decision Making, Clinical Scapula Pathology Clavicle Fractures Surgery Fracture Fixation Methods Biomechanics Preoperative Care Clavicle Fractures Radiography Fracture Fixation Algorithms ab: Introduction: Complex scapula with ipsilateral clavicle fracures remains a challange and treatment recommendations are still missing. This review provides an overview of the evolution of the definition, classification and treatment strategies for complex scapula and ipsilateral clavicle fractures. As with other rare conditions, consensus has not been reached on the most suitable management strategies to treat these patients. The aim of this review is twofold: to compile and summarize the currently available literature on this topic, and to recommend treatment approaches. Materials and methods: Included in the review are the following topics: biomechanics of scapula and ipsilateral clavicle fractures, preoperative radiological evaluation, surgical treatment of the clavicle only, surgical treatment of both the clavicle and scapula, and nonsurgical treatment options. Results: A decision-making algorithm is proposed for different treatment strategies based on pre-operative parameters, and an example of a case treated our institution is presented to illustrate use of the algorithm. Discussion: The role of instability in complex scapula with ipsilateral clavicle fractures remains unclear. The question of stability is preoperatively less relevant than the question of whether the dislocated fragments lead to compromised shoulder function. pubtype: Academic Journal doctype: diagnostic images pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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