Scapular Neck Fracture. Shoulder blade fractures occur second-most often in the scapular neck area, according to the Duke Orthopaedics textbook. This is the narrow part of the shoulder blade.
A review of 27 fractures of the acromion process during a 15-year period revealed five distinct types that were classified into three groups. Stress fractures are rare, do not result from acute trauma, and gain little benefit from nonoperative treatment. Type I fractures are minimally displaced.
Techniques such as K-wire fixation or screw and plate fixation have been reported.6 The majority of research done on the treatment of acromion pathology deals with symptomatic os acromiale rather than traumatic acromion fractures.Fractures of the acromion process that cause the arm bone to hit against it (impingement syndrome) During this operation, the bone fragments are first repositioned (reduced) in their normal alignment, and then held together by attaching metal plates with special screws to the outer surface of the bone. Pain Management. Pain after an injury or surgery is a natural part of the healing process.We found that the acromion is at higher fracture risk, with a superior to inferior directed incoming force compared to a simulated lateral hit. Further we found that hole position and orientation have greater influence on increasing acromion fracture risk than tunnel diameter. The FAE calculated a load to failure reduction to 83.2% of the native stability if a 2.4 mm horizontal tunnel was.
Fractures of the scapula due to direct violence are relatively common. Wilber and Evans (18) reported 40 scapular fractures and reviewed the literature. All those injured had received direct trauma to the shoulder and they were able to divide their cases into two groups, based on anatomical location and functional results. Scapular fractures due to avulsion of the muscular attachments are.
Isolated acromion fractures are uncommon; acromion fractures make up less than 10% of all scapular fractures and are usually associated with other fractures or soft tissue injuries around the shoulder such as rotator cuff tendon tears. Although generally treated non-operatively, when there is significant displacement an acromion fracture can cause impingement of the adjacent rotator cuff and.
Acromial and scapular spine fractures after reverse total shoulder arthroplasty occur predominantly as a result of bony insufficiency secondary to patient and intra-operative technical factors. The spectrum of the pathology can range from a stress reaction to an undisplaced or displaced fracture. Prompt diagnosis of these fractures requires a high suspicion in the postoperative patient with a.
Scapular fractures that involve displacement at the glenoid articular surface, or fracture of the scapula neck or acromion process may require surgery to repair. Surgery is performed to align and hold the displaced bones in their proper anatomical position until they heal. This is achieved with the help of screws and plates. The surgery can be performed traditionally by an open method or by a.
In addition, a fracture of the scapular spine may cause rotator cuff dysfunction because the entire scapula collapses with hortening, with resultant shortening of the rotator cuff lever arm. Frequency Scapula fractures are relatively uncommon. Approximately 50% of scapula fractures involve the body and spine. Glenoid neck constitute about 25% fractures of the glenoid cavity (glenoid rim and.
Although acromial fracture is a well-known complica-tion of RSA, few investigators have dedicated reports to it. Walch and colleagues10 retrospectively reviewed the cases of all patients who.
Because of the high-energy nature of scapular fractures, 80% to 95% are associated with additional traumatic injuries 1).. In the case of a major vascular injury, such as an axillary or brachial artery tear, repair of the vessel should be carried out first, followed by fracture fixation. Recognizing the exact indications for operative treatment of scapula fractures is a major issue for the.
Surgery Report The patient was placed in the right lateral recumbent position and an approach to the body, spine, and acromion process of the scapula was.
Treatment of scapular fracture will require a period of immobilization in a sling. More severe scapular fractures may require surgery to realign and stabilize the injury. How much movement should be restricted following the fracture will depend on the severity of the break. Once cleared by the physician, a physical therapy program should be initiated to reverse the effects of immobilization.
Scapula Fracture. The scapula (shoulder blade) is a flat, triangular bone providing attachment to the muscles of the back, neck, chest and arm. The scapula has a body, neck and spine portion. Scapular fractures are uncommon but do occur and require a large amount of force to fracture. They are usually the result of intense trauma, such as a.
The distal half curves back (concave) before attaching to the scapula (coracoid and acromion). Clavicle fractures usually occur at the junction (midshaft) between these two curves, most likely because this area lacks ligamentous attachments to adjacent bones and is the bone's thinnest segment. When displacement occurs, the proximal fragment of a clavicle fracture is almost always displaced.