History of diagnostics and treatment of scapular fractures in children and adolescents and its clinical importance

Abstract

Almost 70 scapular fractures in children and adolescents, up to the age of 17 years, have been described in detail in the literature since 1839. The diagnosis of these injuries was based on autopsy, radiographs, CT and MRI examinations. The most frequent findings were fractures/epiphyseolyses of the coracoid, followed by fractures of the infraspinous part of the body and avulsion of the inferior angle of the scapular body. Less common were fractures of the acromion. Intra-articular fractures of the glenoid, or separation of an intact glenoid along the line of the anatomical or surgical necks, were reported only sporadically. Scapulothoracic dissociation was also recorded in several cases. The majority of fractures were treated non-operatively; operative treatment was used in glenoid fractures, certain fractures of the coracoid and fractures of the scapular body with intrathoracic penetration. Except for scapulothoracic dissociation, outcomes of treatment of these injuries were very good.

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Acknowledgements

The authors wish to thank Prof. Chris Colton MB BS FRCS and Ludmila Bébarová PhD for their assistance in the editing the manuscript.

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Supported by IP DZRVO MO1012.

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Bartoníček, J., Naňka, O. History of diagnostics and treatment of scapular fractures in children and adolescents and its clinical importance. Arch Orthop Trauma Surg (2021). https://doi.org/10.1007/s00402-021-03800-8

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Keywords

  • Scapular fractures
  • Pediatric scapular fractures
  • History
  • Scapula