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Skapulafrakturen

Scapula fractures

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Zusammenfassung

Historisch ist die Versorgung der Skapulafrakturen eng mit der medizinischen Historie Frankreichs verknüpft und reicht ins 16. Jahrhundert zurück. Die Diagnostik und Therapie der Skapulafrakturen ist dabei untrennbar mit der Diagnostik und Therapie des Thoraxtraumas verbunden. Nur dies erlaubt letztlich eine adäquate Einschätzung der Gefährdung des häufig schwerstverletzten Patienten. Mit der Einschränkung, dass alle Empfehlungen auf einer „highest available evidence“ vom Grad 4 beruhen, können Skapulablattfrakturen, die etwa zwei Drittel aller Skapulafrakturen ausmachen, zumeist konservativ behandelt werden. Demgegenüber besteht bei komplexen Verletzungen wie der „floating shoulder“ ein dringlicher Handlungsbedarf.

Abstract

Historically, the treatment of scapula fractures is closely associated with the medical history of France and goes back to the sixteenth century. Diagnosis and therapy of scapula fractures are intrinsically tied to the diagnosis and therapy of chest trauma. Only this enables ultimately an adequate evaluation of the hazard of the often multiple injured patients. Scapula body fractures which have a portion of about two thirds of all scapula fractures can be treated conservatively in the majority of cases – with the limitation that all recommendations are based on the “highest available evidence” grade 4. On the other hand, there is an urgent need for surgical intervention in complex injuries like the “floating shoulder”.

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  1. Orthopädisch-Unfallchirurgisches Zentrum, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Universität Heidelberg, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Deutschland

    Lars-Johannes Lehmann, Tabea Detzel &  Udo Obertacke

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  1. Lars-Johannes Lehmann
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  2. Tabea Detzel
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Correspondence to Lars-Johannes Lehmann.

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Lehmann, J., Detzel, T. & Obertacke, U. Skapulafrakturen. Obere Extremität 8, 63–70 (2013). https://doi.org/10.1007/s11678-013-0211-7

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