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

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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.
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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.
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13.	王劲,张雪林,李树祥,等.CT 三维重建技术对肩胛骨骨折的诊断价值.中华骨科杂志,2003,23(10):615-618.
14.	Chochola A,Tuček M,Bartoníček 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.	于永辉,刘玉杰,王琪.关节镜辅助下手术治疗肩胛盂骨折.军医进修学院学报,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. 王鹏飞,张堃,宋哲,等.肩胛骨骨折治疗最新进展.国际骨科学杂志,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,吴学元,任国文.重建钢板治疗肩胛骨骨折.临床骨科杂志,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.移位性肩押颈骨折的修复.中国修复重建外科杂志,2007,21(9):1019-1020.
13. 王劲,张雪林,李树祥,等.CT 三维重建技术对肩胛骨骨折的诊断价值.中华骨科杂志,2003,23(10):615-618.
14. Chochola A,Tuček M,Bartoníček 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. 于永辉,刘玉杰,王琪.关节镜辅助下手术治疗肩胛盂骨折.军医进修学院学报,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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POKING REDUCTION TREATMENT OF DISPLACED SCAPULAR NECK FRACTURE WITH SHOULDER ARTHROSCOPY-ASSISTED SURGERY

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