Treatment of fractures of the scapula.

概要

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Fractures of the scapula are relatively uncommon. According to Jinnaka, it accounts for only 1% of all fractures. We report 16 cases of the scapular fractures experienced in the last 8 years together with some literature discussions. The cases consisted of 13 males and 3 females and their ages ranged from 19 to 80 years (mean, 49 years). Tumbles and falls accounted for 88% of the causes of injury and traffic accidents accounted for more than 60% of the causes. The fractures occurred at a total of 23 sites. They were the neck (8 cases), the trunk (6 cases), the acromion (5 cases), the glenoid (2 cases), the coracoid process (1 case) and the scapular spine (1 case). Associated injuries were present in 63% of the cases and many cases of costal fracture and head trauma were observed. 13 cases were treated conservatively and 3 cases operatively. Prognosis was generally good in most cases, but 31% of the cases had some complaints. This is considered to be attributable to changes in the balanced scapular structure and impairment of the inherent coordination between muscles and scapula due to the fracture.
西日本整形・災害外科学会の論文