Surgical Treatment of the Fracture of the Scapular Body

Rhyou,  In Hyeok; Suh,  Bo Gun; Chung,  Chaeik; Kim,  Kyung Chul

doi:2008.11.2.150

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Original Article

Journal of the Korean Shoulder and Elbow Society 2008;11(2):150-157.
DOI: https://doi.org/10.5397/CiSE.2008.11.2.150 Published online December 31, 2008.

Surgical Treatment of the Fracture of the Scapular Body

In Hyeok Rhyou, Bo Gun Suh, Chaeik Chung, Kyung Chul Kim

Upper Extremity and Microsurgery Center, Department of Orthopedic Surgery, Semyeong Christianty Hospital, Pohang, Kyeongbuk, Korea. inhyeok_r@yahoo.co.kr

견갑골 체부 골절의 수술적 치료

류인혁*·서보건·정재익·김경철

포항세명기독병원 정형?성형센터

Abstract

PURPOSE
We wanted to evaluate the results of surgical treatment for fracture of the scapular body MATERIALS AND METHODS: The subjects of this study were seven patients with fracture of the scapular body and all these patients were managed surgically. We considered the operative indications as being 100% translation of the lateral border, or 25 degrees of angular deformity of the glenoid, or 1cm medialization or the variant of the double disruption of the superior scapular suspensory complex. There were five males and two females, and their ages ranged between 40 and 58 years (mean age: 49) with average follow up of 11 months (6~24 months). Two patients sustained multiple fractures of the ribs and spines. The surgical results were evaluated according to the subjective satisfaction, the UCLA score and the Korean shoulder score.
RESULTS
The mean UCLA score was 29 (17~33) and the mean Korean shoulder score was 86 (63~94). The self assessment for subjective satisfaction was 7.7 (4~9). There were two complications; one case of screw pull-out without the loss of the fracture fixation and the other case with screw penetration of the glenoid cavity.
CONCLUSION
Surgical treatment may be effective for the management of severely displaced fracture of the scapular body in order to prevent the impairment of the shoulder function caused by the altered glenohumeral and scapulothoracic kinematics.

Key Words: Shoulder; Scapular body; Fracture; Surgical treatment

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