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Scapular fractures

  • Jan Bartoníček
  • Michal Tuček
  • Ondřej Naňka
Chapter

Abstract

Scapular fractures are still a challenge in traumatology of the musculoskeletal apparatus. Their proper understanding is impossible without fundamental anatomical and clinical knowledge. A considerable part of scapular fractures is associated with other severe injuries, particularly to the chest. Essential for diagnosis and treatment of these fractures is radiographic examination, primarily both Neer projections and 3D CT reconstructions. The classifications used so far should be revised as they do not reflect real types of these fractures. Operative treatment should be considered in displaced scapular fractures. Such treatment is not urgent as these fractures may be operated on within up to 3 weeks of the primary injury. Due to the fact that this is a severe but rare injury, they should be referred to specialised centres.

Keywords

Scapular fractures Classification of scapular fractures Operative treatment of scapular fractures 

References

  1. 1.
    Bartoníček J, Cronier P. History of the treatment of scapular fractures. Arch Orthop Trauma Surg. 2010;130:83–92.CrossRefGoogle Scholar
  2. 2.
    Hersovici D, Roberts CS. Scapula fractures: to fix or not to fix? J Orthop Trauma. 2006;20:227–9.CrossRefGoogle Scholar
  3. 3.
    Zlowodski M, Bhandari M, Zelle BA, Kregor PJ, Cole PA. Treatment of scapula fractures: systematic review of 520 fractures in 22 case series. J Orthop Trauma. 2006;20:230–3.CrossRefGoogle Scholar
  4. 4.
    Lantry JM, Roberts CS, Giannoudis PV. Operative treatment of scapular fractures: a systematic review. Injury. 2008;39:271–83.CrossRefGoogle Scholar
  5. 5.
    Tuček M, Bartoníček J, Frič V. Osseous anatomy of scapula: its importance for classification of scapular body. Ortopedie (Czech Orthopaedics). 2011;5:104–9.Google Scholar
  6. 6.
    Chochola A, Tuček M, Bartoníček J, Klika D. CT-diagnostic of scapular fractures. Rozhl Chir. 2013;92:385–8.PubMedGoogle Scholar
  7. 7.
    Tuček M, Naňka O, Malík J, Bartoníček J. Scapular glenopolar angle: standard values and side differences. Skelet Radiol. 2014;43:1583–7.CrossRefGoogle Scholar
  8. 8.
    Tuček M, Bartoníček J, Klika D, Chochola A. Epidemiology of scapular fractures. Acta Orthop Belg. 2017;83:8–15.PubMedGoogle Scholar
  9. 9.
    Bartoníček J, Frič V. Scapular body fractures: results of the operative treatment. Int Orthop. 2011;35:747–53.CrossRefGoogle Scholar
  10. 10.
    Bartoníček J, Tuček M, Frič V, Obruba P. Fractures of the scapular neck. Diagnosis-classifications-treatment. Int Orthop. 2014;38:2163–73.CrossRefGoogle Scholar
  11. 11.
    Bartoníček J, Tuček M, Klika D, Chochola A. Pathoanatomy and computed tomography classification of glenoid fossa fractures based on 90 patients. Int Orthop (SICOT). 2016;40:2383–92.CrossRefGoogle Scholar
  12. 12.
    Bartoníček J, Tuček M, Klika D, Obruba P. Total glenoid fractures. Rozhl Chir. 2016;95:386–93.PubMedGoogle Scholar
  13. 13.
    Bartoníček J, Frič V, Tuček M. Intra-operative reduction of the scapular body – a technical trick. J Orthop Trauma. 2009;23:294–8.CrossRefGoogle Scholar
  14. 14.
    Bartoníček J, Tuček M, Frič V. Operative treatment of scapula fractures. Ortopedie (Czech Orthopaedics). 2010;4:204–10.Google Scholar
  15. 15.
    Bartoníček J. Scapular fractures. In: Court-Brown CH, Heckman AD, McMqQueen, Ricci WM, Tornetta P, editors. Rockwood and Green’s fractures in adults. 8th ed. Philadelphia: Wolters Kluwer; 2015. p. 1475–501.Google Scholar
  16. 16.
    Reggio AW. Fracture of the shoulder girdle. In: Wilson PD, editor. Experience in the management of fractures and dislocations, based on an analysis of 4,390 cases. Philadelphia: Lippincott; 1938. p. 370–4.Google Scholar
  17. 17.
    Court-Brown CM, McQueen MM, Tornetta P. Trauma. Philadelphia: JB Lippincot, Williams and Wilkins; 2006. p. 76–81.Google Scholar
  18. 18.
    Zhang Y. Scapular fractures. In: Clinical epidemiology of orthopedic trauma. Stuttgart: Thieme; 2012. p. 580–617.Google Scholar
  19. 19.
    Goss TP. Scapula fractures and dislocations: diagnosis and treatment. J Am Acad Orthop Surg. 1995;3:22–33.CrossRefGoogle Scholar
  20. 20.
    McAdams TR, Blevins FT, Martin TP, DeCoster TA. The role of plain films and computed tomography in the evaluation of scapula neck fractures. J Orthop Trauma. 2002;16:7–11.CrossRefGoogle Scholar
  21. 21.
    Bestard EA, Schvene HR, Bestard EH. Glenoplasty inmanagement of recurrent shoulder dislocation. Contemp Orthop. 1986;12:47–55.Google Scholar
  22. 22.
    Cole PA, Gauger EM, Schroder LK. Management of scapular fractures. J Am Acad Orthop Surg. 2012;20:130–41.CrossRefGoogle Scholar
  23. 23.
    Pace AM, Stuart R, Brownlow H. Outcome of glenoid neck fractures. J Shoulder Elb Surg. 2005;14:585–90.CrossRefGoogle Scholar
  24. 24.
    Ada JR, Miller ME. Scapula fractures. Analysis of 113 cases. Clin Orthop Relat Res. 1991;269:174–80.Google Scholar
  25. 25.
    Euler E, Habermeyer P, Kohler W, et al. Skapulafrakturen – Klassifikation und Differentialtherapie. Orthopade. 1992;21:158–62.PubMedGoogle Scholar
  26. 26.
    Ideberg R, Grevsten S, Larsson S. Epidemiology of scapular fractures. Acta Orthop Scand. 1995;66:395–7.CrossRefGoogle Scholar
  27. 27.
    Orthopaedic Trauma Association Fracture and dislocation compendium. Scapular fractures. J Orthop Trauma. 2007;21(Suppl 1):S68–71.Google Scholar
  28. 28.
    ter Meulen DP, Janssen SJ, Hageman MGJS, Ring DC. Quantitative htree-dimensional computed tomography analysis of glenoid fracture patterns according to the AO/OTA classification. J Shoulder Elb Surg. 2016;25:269–75.CrossRefGoogle Scholar
  29. 29.
    Audigé L, Kellam JF, Lambert S, Madesn JE, Babst R, Andermahr LW, Jaeger M. The AO Foundation and Orthopaedic Trauma Association (AO/OTA) scapula fracture classification system focus on body involvement. J Shoulder Elb Surg. 2014;23:189–96.CrossRefGoogle Scholar
  30. 30.
    Hardegger F, Simpson LA, Weber BG. The operative treatment of scapular fractures. J Bone Joint Surg (Br). 1984;66-B:725–31.CrossRefGoogle Scholar
  31. 31.
    Bauer G, Fleuschmann W, Dussler E. Displaced scapular fractures: indication and long-term results of open reduction and internal fixation. Arch Orthop Trauma Surg. 1995;114:215–9.CrossRefGoogle Scholar
  32. 32.
    Schandelmaier P, Blauth M, Schneider C, Krettek C. Fractures of the glenoid treated by operation. J Bone Joint Surg (Br). 2002;84-B:173–7.CrossRefGoogle Scholar
  33. 33.
    Anavian J, Gauger EM, Schroder LK, Wijdicks CA, Cole PA. Surgical and functional outcomes after operative management of complex and displaced intra-articular glenoid fractures. J Bone Joint Surg Am. 2012;94:645–53.CrossRefGoogle Scholar
  34. 34.
    Cole PA, Gauger EM, Herrera DA, Anavian J, Tarkin IS. Radiographic follow-up of 84 operatively treated scapula neck and body fractures. Injury. 2012;43:327–33.CrossRefGoogle Scholar
  35. 35.
    Schroder LK, Gauger EM, Gilbertson JA, Cole PA. Functional outcomes after operative management of extra-articular glenoid neck and scapular body fractures. J Bone Joint Surg Am. 2016;98:1623–30.CrossRefGoogle Scholar
  36. 36.
    Anavian J, Wijdicks CA, Schroder LK, Vang S, Cole PA. Surgery for scapula process fractures: good outcome in 26 patients. Acta Orthop. 2009;80:344–50.CrossRefGoogle Scholar
  37. 37.
    Marek DJ, Sechriest VF, Swiontkowski MF, Cole P. Case report: reconstruction of a recalcitrant scapular neck nonunion and literature review. Clin Orthop Relat Res. 2009;467:1370–6.CrossRefGoogle Scholar
  38. 38.
    Cole PA, Talbot M, Schroder LK, Anavian J. Extra-articular malunions of the scapula: a comparison of functional outcome before and after reconstruction. J Orthop Trauma. 2011;25:649–56.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jan Bartoníček
    • 1
    • 2
  • Michal Tuček
    • 1
  • Ondřej Naňka
    • 2
  1. 1.Department of OrthopaedicsCharles University and Central Military Hospital PraguePragueCzech Republic
  2. 2.Department of AnatomyCharles UniversityPragueCzech Republic

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