POKING REDUCTION TREATMENT OF DISPLACED SCAPULAR NECK FRACTURE WITH SHOULDER ARTHROSCOPY-ASSISTED SURGERY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

QUFeng , YUANBangtuo , QIWei , WANGJunliang , SHENXuezhen , WANGJiangtao , ZHAOGang ,  LIUYujie

Department of Orthopedics, Sports Medicine Center, General Hospital of Chinese PLA, Beijing, 100853, P. R. China;

Corresponding?author：

LIUYujie, Email: liuyujie301@163.com

Keywords：

Displaced scapular neck fracture; Arthroscopy; Poking reduction; Internal fixation

DOI：

10.7507/1002-1892.20140177

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the effectiveness of Poking reduction with shoulder arthroscopy-assisted surgery for displaced scapular neck fracture. Methods Between January 2009 and January 2012,9 cases of displaced scapular neck fracture underwent shoulder arthroscopy-assisted surgery for Poking reduction treatment.Of 9 cases,6 were men,and 3 were women,aged 21-54 years (mean,39 years).The causes were traffic accident injury in 7 cases,falling injury from height in 1 case,and hurt injury in 1 case.The shoulder abduction,flexion,and external rotation were obviously limited.X-ray films showed all cases had obvious displaced scapular neck fracture.Three-dimensional reconstruction of CT showed a grossly displaced of fracture.The time of injury to surgery was 4-27 days (mean,11 days). Results Patients obtained healing of incision by first intension,without infection,neurovascular injury,or other surgery-related complications.All patients were followed up 19-31 months (mean,23 months).X-ray films showed scapular neck fractures healed from 7 to 11 weeks (mean,8 weeks).At last follow-up,the shoulder abduction,flexion,and external rotation activity were improved significantly when compared with ones at preoperation (P<0.05);the shoulder Constant score,American Shoulder and Elbow Surgenos (ASES) score,and Rowe score were significantly better than preoperative scores (P<0.05). Conclusion The reduction of displaced scapular neck fracture is necessary,and arthroscopic Poking reduction and fixation for displaced scapular neck fracture can reconstruct the shoulder stability and reduce complications

Citation： QUFeng, YUANBangtuo, QIWei, WANGJunliang, SHENXuezhen, WANGJiangtao, ZHAOGang, LIUYujie. POKING REDUCTION TREATMENT OF DISPLACED SCAPULAR NECK FRACTURE WITH SHOULDER ARTHROSCOPY-ASSISTED SURGERY. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(7): 798-801. doi: 10.7507/1002-1892.20140177 Copy

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7.	Constant CR,Murley AH.A clinical method of functional assessment of the shoulder.Clin Orthop Relat Res,1987,(214):160-164.
8.	Neuhaus V,Bot AG,Guitton TG,et al.Scapula Fractures:interobserver reliability of classification and treatment.J Orthop Trauma,2013,28(3):124-129.
9.	Cole PA,Freeman G,Dubin JR.Scapula fractures.Curr Rev Musculoskelet Med,2013,6(1):79-87.
10.	Adam FF.Surgical treatment of displaced fractures of the glenoid cavity.Int Orthop,2002,26(3):150-153.
11.	Cole PA,Dubin JR,Freeman G.Operative techniques in the management of scapular fractures.Orthop Clin North Am,2013,44(3):331-343.
12.	李子恢,曹力.移位性肩押頸骨折的修復.中國修復重建外科雜志,2007,21(9):1019-1020.
13.	王勁,張雪林,李樹祥,等.CT 三維重建技術對肩胛骨骨折的診斷價值.中華骨科雜志,2003,23(10):615-618.
14.	Chochola A,Tu?ek M,Bartoní?ek J,et al.CT diagnostics of scapular fractures.Rozhl Chir,2013,92(7):385-388.
15.	Fucentese SF,Jost B.Posterior approach to the shoulder.Oper Orthop Traumatol,2010,22(2):188-195.
16.	于永輝,劉玉杰,王琪.關節鏡輔助下手術治療肩胛盂骨折.軍醫進修學院學報,2011,32(7):725-726.
17.	Valenti P.Arthroscopic subacromial decompression.Chir Main,2006,25(1):22-28.
18.	Odenbring S,Wagner P,Atroshi I.Long-term outcomes of arthroscopic acromioplasty for chronic shoulder impingement syndrome:a prospective cohort study with a minimum of 12 years' follow-up.Arthroscopy,2008,24(10):1092-1098.

1. Südkamp NP,Jaeger N,Bornebusch L,et al.Fractures of the scapula.Acta Chir Orthop Traumatol Cech,2011,78(4):297-304.
2. 王鵬飛,張堃,宋哲,等.肩胛骨骨折治療最新進展.國際骨科學雜志,2013,34(1):26-28.
3. Bartonícek J,Fric V,Tucek M.Fractures of the anatomical neck of the scapula:two cases and review of the literature.Arch Orthop Trauma Surg,2013,133(8):1115-1119.
4. 朱宏斌,吳學元,任國文.重建鋼板治療肩胛骨骨折.臨床骨科雜志,2009,12(1):105.
5. Michener LA,McClure PW,Sennett BJ,et al.American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form,patient self-report section:reliability,validity,and responsiveness.J Shoulder Elbow Surg,2002,11(6):587-594.
6. Richards RR,An KN,Bigliani LU,et al.A standardized method for the assessment of shoulder function.J Shoulder Elbow Surg,1994,3(6):347-352.
7. Constant CR,Murley AH.A clinical method of functional assessment of the shoulder.Clin Orthop Relat Res,1987,(214):160-164.
8. Neuhaus V,Bot AG,Guitton TG,et al.Scapula Fractures:interobserver reliability of classification and treatment.J Orthop Trauma,2013,28(3):124-129.
9. Cole PA,Freeman G,Dubin JR.Scapula fractures.Curr Rev Musculoskelet Med,2013,6(1):79-87.
10. Adam FF.Surgical treatment of displaced fractures of the glenoid cavity.Int Orthop,2002,26(3):150-153.
11. Cole PA,Dubin JR,Freeman G.Operative techniques in the management of scapular fractures.Orthop Clin North Am,2013,44(3):331-343.
12. 李子恢,曹力.移位性肩押頸骨折的修復.中國修復重建外科雜志,2007,21(9):1019-1020.
13. 王勁,張雪林,李樹祥,等.CT 三維重建技術對肩胛骨骨折的診斷價值.中華骨科雜志,2003,23(10):615-618.
14. Chochola A,Tu?ek M,Bartoní?ek J,et al.CT diagnostics of scapular fractures.Rozhl Chir,2013,92(7):385-388.
15. Fucentese SF,Jost B.Posterior approach to the shoulder.Oper Orthop Traumatol,2010,22(2):188-195.
16. 于永輝,劉玉杰,王琪.關節鏡輔助下手術治療肩胛盂骨折.軍醫進修學院學報,2011,32(7):725-726.
17. Valenti P.Arthroscopic subacromial decompression.Chir Main,2006,25(1):22-28.
18. Odenbring S,Wagner P,Atroshi I.Long-term outcomes of arthroscopic acromioplasty for chronic shoulder impingement syndrome:a prospective cohort study with a minimum of 12 years' follow-up.Arthroscopy,2008,24(10):1092-1098.

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Chinese Journal of Reparative and Reconstructive Surgery

POKING REDUCTION TREATMENT OF DISPLACED SCAPULAR NECK FRACTURE WITH SHOULDER ARTHROSCOPY-ASSISTED SURGERY

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