Journal of Musculoskeletal Trauma

Original Articles

Conservative Treatment of Scapular Fractures: Jae Won You, Hyun Jung Yoon; J Korean Soc Fract 1994;7(2):364-370. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.364

Fracture of the scapula is relatively uncommon injuries. It is often caused by violent direct trauma and associated injuries of the shoulder and thorax are very common. The purpose of this study is to evaluate the clinical results and the complications of the conservative treatment on the scapular fracture. We reviewed 42 cases of the scapular fracture treated conseuatively from 1987 to 1993. The follow up period ranged 14 to 30 months. The results were as follows. 1. The most common cause was traffic accident(30 out of 42 cases), especially pedestrian(15 cases). 2. Mostly associated injuries were ipsilateral clavicle fractures(25%), rib fractures(22.5%), humerus fractures(20%), hemopneumothorax(20%), brachial plexus injuries(20%), and head trauma(20%). 3. According to the classification by Ada and Miller, the neck fracture was most common(36.5%). 4. According to the criteria of functional result by Hardegger et al, excellent and good results are 80.9%(34 out of 42 cases). 5. The complications were the limited range of motion(3 cases), shoulder pain(2 cases), brachial plexus injury(2 cases), and malunion(2 cases). 6. In most cases of conservative treatment, we obtained satisfactory results but we think that the more active surgical treatment will be necessary in the cases of the intraarticular glenoid fracture, the combined fractures, the floating shoulder, and the double disruption of superior suspensory shoulder complex, especially in the active age.

Citations

Citations to this article as recorded by

Clinical Results of Lateral-Posterior Internal Fixation for the Treatment of Scapular Body Fractures
Yoon-Min Lee, Joo-Dong Yeo, Seok-Whan Song
Journal of the Korean Orthopaedic Association.2020; 55(1): 46. CrossRef

152 View
0 Download
1 Crossref

Treatment of Monteggia fracture in Adults: Dong Min Shin, Byung Ho Lee, Hyun Jung Yoon; J Korean Soc Fract 1994;7(1):79-86. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.79

Abstract PDF: In 1814 Monteggia described two cases of fracture of the proximal part of the ulna with anterior dislocation of the radial head. Since then, there have been many reports of this type of fracture dislocation. Bado named Monteggia lesion as a fracture of ulna at any level and a dislocation of radial head. Thrity-five patient with Monteggia fracture were treated at department of Orthopaedic Surgery, Ehosun University Hospital from 1985. January to 1991 December. Twenty-seven patient, who were followed for a minimum of one year, subject of this review. The results were as follows: 1. Among the 27 patients, male is about 3 times more than female. 2. The cause of injuries were traffic accident in 15, fall down in 10, belt injury in 1 and direct blowing in 1 3. Classification into 4 type by Bados method disclosed that type I accounts for 51.9% of cases, type II for 14.8%, type III for 22.8% and type IV for 11.1% 4. Sites of ulna fractures were upper one thlrd in 8, junction of upper and middle 1/3 in 11, middle 1/3 in 5, distal 1/3 in 1 and segmental 2. 5. Closed reduction of radial head dislocation was done in 13 cases open reduction in 6 cases, and excision in 8 cases. 6. All of the fractures of ulna were treated with open reduction and internal fixation with plate in 16, Rush pin in 6 and wiring in 5. 7. The partial posterior interosseous nerve injury was noticed in 3 cases and recovered completely within 8 weeks. 8. With the criteria of Bruce et al(1974), the result were excellent in 11, good in 7, fair in 5 and poor in 4.

75 View
0 Download

First
Prev
Page of 1
Next
Last

Search