Fractures of the scapula surgical neck: outcome after conservative treatment in 13 cases

@article{Noort2005FracturesOT,
  title={Fractures of the scapula surgical neck: outcome after conservative treatment in 13 cases},
  author={Arthur van Noort and Albert van Kampen},
  journal={Archives of Orthopaedic and Trauma Surgery},
  year={2005},
  volume={125},
  pages={696-700}
}
  • A. Noort, A. Kampen
  • Published 28 September 2005
  • Medicine
  • Archives of Orthopaedic and Trauma Surgery
Background: Conservative treatment of fractures of the scapular neck does not uniformly lead to a success. The purpose of this retrospective study was to analyze the occurrence of glenoid displacement in conservatively treated patients with a scapular neck fracture without concomitant shoulder girdle injury in relation with the clinical outcome. Methods: Between 1991 and 2001, 177 patients with a fracture of the scapula were treated in two Dutch clinics. Twenty-four patients sustained a… 
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References

SHOWING 1-10 OF 21 REFERENCES
Scapular fractures. Analysis of 113 cases.
TLDR
Significant disability was found in patients with displaced scapular spine and neck fractures and the indications for operative management should be expanded to include displacedScapular neck and spine fractures.
The floating shoulder. A multicentre study.
TLDR
It is concluded that this rare injury is not inherently unstable and, in the absence of caudal dislocation of the glenoid, conservative treatment gives a good functional outcome.
Displaced scapular fractures: indication and long-term results of open reduction and internal fixation
TLDR
Fractures of the scapular neck had the best results in terms of pain, daily activity, range of motion, and strength) as compared with fractures of the glenoid and apophyseal fractures.
Fractures of the scapula: a retrospective study of 40 fractured scapulae.
TLDR
Forty fractured scapulae in 39 patients treated by nonoperative means were retrospectively reviewed and many of these injuries were life threatening although some could have been easily overlooked on initial presentation.
Scapular neck fracture – the influence of permanent malalignment of the glenoid neck on clinical outcome
TLDR
Severe displacement of the glenoid neck may occur with or without associated fracture of the clavicle or dislocation of the AC joint and can be identified as a GPA less than 20°, which is closer to the anteroposterior axis perpendicular to the scapular plane on plain X-rays.
Fracture of the body, neck, or spine of the scapula. A long-term follow-up study.
TLDR
The results of the current study suggest that the long-term course after fracture of the scapula is not uniformly favorable, and half of the patients with residual scapular deformity have shoulder symptoms.
The operative treatment of scapular fractures.
TLDR
Between 1967 and 1981, 37 fractures of the scapula occur mainly from direct trauma involving considerable violence and associated injuries of the shoulder and thorax are common, and in most cases early functional treatment gives good or excellent results.
Fractures of the scapula. An analysis of forty cases and a review of the literature.
  • M. Wilber, E. Evans
  • Medicine
    The Journal of bone and joint surgery. American volume
  • 1977
TLDR
In forty patients treated at The University of Texas Medical Branch Hospitals for fifty-two fractures of forty-one scapulae from 1961 through 1973, most of the fractures were the result of vehicular accidents, and for fractures of this type the authors now recommend immobilization in 60 degrees of abduction, 25 degrees of flexion, and25 degrees of external rotation, with early active abduction exercises.
The significance of scapular fractures.
TLDR
Although no patient died from the scapular fracture, half of the deaths in this series were the result of pulmonary sepsis arising in an associated ipsilateral pulmonary contusion.
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