THE UNSTABLE SHOULDER GIRDLE - EARLY FUNCTIONAL TREATMENT UTILIZING OPEN REDUCTION AND INTERNAL-FIXATION

被引:40
作者
RIKLI, D
REGAZZONI, P
RENNER, N
机构
[1] Department of Surgery, Kantonsspital, Basel
关键词
UNSTABLE SHOULDER GIRDLE; SCAPULAR NECK FRACTURE; CLAVICULAR FRACTURE; OSTEOSYNTHESIS;
D O I
10.1097/00005131-199504000-00001
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The unstable shoulder girdle-a combination of a scapular neck fracture with a clavicular fracture, acromioclavicular dislocation, or sternoclavicular dislocation-represents a rare and often underestimated injury. Sufficient treatment to permit early function is necessary to avoid a frozen shoulder as well as to treat concomitant thoracic injuries. This is possible only by open reduction and internal fixation. In most cases this can be achieved by a sole osteosynthesis of the clavicular injury. We retrospectively analyzed 12 cases and classified the results according to the Constant Score. This analysis showed excellent functional results in nearly all cases.
引用
收藏
页码:93 / 97
页数:5
相关论文
共 21 条
[1]  
Ada J.R., Miller M.E., Scapular fractures. Analysis of 113 cases, Clin Orthop, 269, pp. 174-180, (1991)
[2]  
Albrecht H.U., Bamert P., Clavicular fracture: Treatment and complications, Helv Chir Acta, 48, 5, pp. 571-583, (1982)
[3]  
Constant C.R., A clinical method of functional assessment of the shoulder, Clin Orthop Rel Res, 214, pp. 160-164, (1987)
[4]  
Crenshaw A.H., Campbell’s Operative Orthopedics, (1987)
[5]  
Ganz R., Noesberger R., Die Behandlung der Skapulafrakturen, Hefte Unfallheilkd, 126, pp. 59-62, (1975)
[6]  
Hardegger F.H., Simpson L.A., Weber B.G., The operative treatment of scapular fractures, J Bone Joint Surg [Br], pp. 725-731, (1984)
[7]  
Harris R.D., Harris J.H., The prevalence and significance of missed scapular fractures in blunt chest trauma, Am J Roentgenol, 151, pp. 747-750, (1988)
[8]  
Herscovici D., Fiennes A.G.T., Allgӧwer M., Ruedi T., The floating shoulder: Ipsilateral clavicle and scapular neck fractures, J Bone Joint Surg [Br], 74, pp. 362-364, (1992)
[9]  
Imatani R.J., Fractures of the scapula: A review of 53 fractures, J Trauma, pp. 473-478, (1975)
[10]  
Jeanmaire E., Ganz R., Treatment of shoulder blade fractures. Indications for surgery, Helv Chir Acta, 48, pp. 585-594, (1982)