SIGNIFICANCE OF SCAPULAR FRACTURE IN THE BLUNT-TRAUMA PATIENT

被引：39

作者：

STEPHENS, NG ^{[1
]}

MORGAN, AS ^{[1
]}

CORVO, P ^{[1
]}

BERNSTEIN, BA ^{[1
]}

机构：

[1] UNIV CONNECTICUT,INTEGRATED RESIDENCY PROGRAM,HARTFORD,CT 06112

来源：

ANNALS OF EMERGENCY MEDICINE | 1995年 / 26卷 / 04期

关键词：

D O I：

10.1016/S0196-0644(95)70111-7

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To determine the significance of scapular fractures in blunt-trauma patients compared with blunt-trauma patients without scapular fractures. Design: Retrospective chart review of 11,500 blunt-trauma patients with a control group matched for age, sex, and mechanism of injury. Setting. Two Level I trauma centers. Participants: Ninety-two blunt-trauma patients with scapular fractures and 81 control patients. Results: Mortality, neurovascular injury, and injury severity scores were compared for blunt-trauma patients with scapular fractures with those of the control group. Analysis revealed a 1% incidence of scapular fractures in blunt trauma with no neurovascular injury and no mortality. Scapular fractures were associated with thoracic injury in 49% of the patients, compared with 6% in the control group (difference, 43%; 95% confidence interval, 31.6 to 51.4; P<.001, Fisher's exact test). Conclusion: Scapular fractures are not a significant marker of greater mortality or of neurovascular morbidity in blunt-trauma patients.

引用

页码：439 / 442

页数：4

共 7 条

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