Abstract
Fractures of the scapula are not common in occurrence. It is generally associated with high-energy injuries; therefore, other concomitant life-or-limb threatening injuries take precedence. Majority of scapular fractures are amenable for conservative treatment; however, numerous aspects of scapular fracture management have been debated for long and are still evolving. Explicit criteria have been laid down for surgical fixation of certain fracture patterns. Another point of contention is choosing optimal implant; myriad fixation constructs and devices add to the conundrum. Mini-fragment plate and/or screws are commonly employed implants for fixation. Complex three-dimensional geometry coupled with uneven bone mass pose daunting challenge to strategize optimal osteosynthesis. Of late, evolution of pre-contoured site-specific anatomical plates have stoked enthusiasm for its ease in application. This chapter dwells on surgical management of scapular fractures and various fixation strategies.
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References
Cole PA, Gauger EM, Schroder LK. Management of scapular fractures. J Am Acad Orthop Surg. 2012;20(3):130–41.
Zdravkovic D, Damholt VV. Comminuted and severely displaced fractures of the scapula. Acta Orthop Scand. 1974;45(1):60–5.
Goss TP. Scapular fractures and dislocations: diagnosis and treatment. J Am Acad Orthop Surg. 1995;3(1):22–33.
Kuhn JE, Blasier RB, Carpenter JE. Fractures of the acromion process: a proposed classification system. J Orthop Trauma. 1994;8(1):6–13.
Ogawa K, Yoshida A, Takahashi M, Ui M. Fractures of the coracoid process. J Bone Joint Surg Br. 1997;79(1):17–9.
Lantry JM, Roberts CS, Giannoudis PV. Operative treatment of scapular fractures: a systematic review. Injury. 2008;39(3):271–83.
Burke CS, Roberts CS, Nyland JA, Radmacher PG, Acland RD, Voor MJ. Scapular thickness – implications for fracture fixation. J Shoulder Elb Surg. 2006;15(5):645–8.
Armitage BM, Wijdicks CA, Tarkin IS, et al. Mapping of scapular fractures with three-dimensional computed tomography. J Bone Joint Surg Am. 2009;91(9):2222–8.
Cole PA, Dubin JR, Freeman G. Operative techniques in the management of scapular fractures. Orthop Clin North Am. 2013;44(3):331–viii.
BartonÃcek J, Fric V, Tucek M. Intraoperative reduction of the scapular body – a technical trick. J Orthop Trauma. 2009;23(4):294–8.
Jones CB, Cornelius JP, Sietsema DL, Ringler JR, Endres TJ. Modified Judet approach and minifragment fixation of scapular body and glenoid neck fractures. J Orthop Trauma. 2009;23(8):558–64.
Sulkar HJ, Tashjian RZ, Chalmers PN, Henninger HB. Mechanical testing of scapular neck fracture fixation using a synthetic bone model. Clin Biomech (Bristol). 2019;61:64–9.
Ao R, Yu B, Zhu Y, Jiang X, Shi J, Zhou J. Single lateral versus medial and lateral plates for treating displaced scapular body fractures: a retrospective comparative study. J Shoulder Elb Surg. 2018;27(2):231–6.
Maier D, Izadpanah K, Ogon P, et al. Open fixation of acute anterior glenoid rim fractures with bioresorbable pins: analysis of clinical and radiological outcome. Arch Orthop Trauma Surg. 2015;135(7):953–61.
Nork SE, Barei DP, Gardner MJ, Schildhauer TA, Mayo KA, Benirschke SK. Surgical exposure and fixation of displaced type IV, V, and VI glenoid fractures. J Orthop Trauma. 2008;22(7):487–93.
Hill BW, Jacobson AR, Anavian J, Cole PA. Surgical management of coracoid fractures: technical tricks and clinical experience [published correction appears in J Orthop Trauma. 2015 Jan;29(1):e23]. J Orthop Trauma. 2014;28(5):e114–22.
Hill BW, Anavian J, Jacobson AR, Cole PA. Surgical management of isolated acromion fractures: technical tricks and clinical experience. J Orthop Trauma. 2014;28(5):e107–13.
Esenkaya İ, Ünay K. Anatomical frame plate osteosynthesis in Ada-Miller Type 2 or 4 scapula fractures. Acta Orthop Traumatol Turc. 2011;45(3):156–61.
Hu Y, Shi H, Wang F, Ren G, Cheng R, Zhang Z. Functional outcomes of extra-articular scapula fracture fixation with distal humeral Y-type locking plate: a retrospective study. J Orthop Surg Res. 2019;14(1):176.
Park AY, DiStefano JG, Nguyen TQ, Buckley JM, Montgomery WH 3rd, Grimsrud CD. Congruency of scapula locking plates: implications for implant design. Am J Orthop (Belle Mead). 2012;41(4):E53–6.
Camarda L, Phadnis J, Clitherow HD, Bain GI. Mesh plates for scapula fixation. Tech Should Elbow Surg. 2015;16:79–84.
Acquaviva AE, Miller EI, Eisenmann DJ, Stone RT, Kraus KH. Biomechanical testing of locking and nonlocking plates in the canine scapula. J Am Anim Hosp Assoc. 2012;48(6):372–8.
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Trikha, V., Das, S. (2023). Implantology of Scapula and Glenoid Fractures. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_66
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DOI: https://doi.org/10.1007/978-981-19-7540-0_66
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