Current challenges and controversies in the management of ... | 合法醫療器材資訊網

由REPires著作·2021·被引用1次—[25],inacaseseriesof66patientswhounderwentopenreductionandinternalfixation(ORIF)fortreatmentofscapularfractures(37extra-and ...

Direct impact may cause fractures in all scapular regions, but an indirect trauma caused by the humeral head into the glenoid fossa also may cause intra- and extra-articular scapular fractures [1,2,3,4].

Although radiographs are essential for diagnosis, including anteroposterior, lateral, and axillary views, computed tomography (CT) plays a critical role in the preoperative planning and decision-making process, especially three-dimensional (3D) reconstructions [4]. Armitage et al. [5] mapped 90 scapula fractures using 3D-CT and found that 68% involved the inferior aspect of the scapula neck. Seventeen percent of fractures presented articular involvement, while 84% traversed medially to exit inferior to the medial extent of the scapular spine. However, the authors highlighted that articular fractures did not follow a predictable pattern.

Scapular fractures may significantly impair the no...