Journal of Musculoskeletal Trauma

Isolated Avulsion Fracture of the Subscapularis from the Lesser Tuberosity of the Humerus in a 12-Year-Old Boy - A Case Report -: Shin Seung Park, Chung Shik Shin, Won Bin Song; J Korean Fract Soc 2022;35(2):68-73. Published online April 30, 2022; DOI: https://doi.org/10.12671/jkfs.2022.35.2.68

Abstract PDF: An isolated avulsion fracture of the subscapularis from the lesser tuberosity of the proximal humerus is rare in the pediatric population and only a couple of cases have been described in literature. A 12-yearold right-handed boy, was admitted to the hospital with left shoulder pain after falling down the previ-ous day. Physical examination revealed tenderness on the lesser tuberosity and intertubercular groove of the humerus and a limited range of motion. Ultrasonography, computed tomography, and magnetic resonance imaging showed an isolated avulsion fracture of the subscapularis tendon from the lesser tuberosity of the humerus, accompanied by medial subluxation of the long head of the biceps tendon. In this case, a subscapularis avulsion fracture which is rare in this age group was detected at an early stage, and surgical treatment resulted in positive outcomes. Subscapularis avulsion fractures in children are difficult to diagnose in the early stages, and if not treated on time, the symptomatic improvement may be delayed. Timely and accurate diagnosis and treatment can help faster return to normal activi-ties. We would therefore like to report this case with a literature review.

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Surgical Treatment of Scapular Fracture using by Plate Fixation: 4 Cases Report: Dae Moo Shim, Jeong Woo Kim, Seok Hyun Kweon, Ul Oh Jeung, Jong Myung Lee; J Korean Fract Soc 2006;19(3):381-387. Published online July 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.3.381

Fractures of the scapula are relatively uncommon injuries and most can be treated satisfactorily with non-operative methods. But scapular fractures are being seen with increasing frequency in our mechanized society, specially in patients who have multiple injuries. So most injuries were related high energy, that residual deformities were high and related to the residual symptoms. Authors had done open reduction and internal fixation with plate in the four cases of the scapular fracture and analyzed that results.

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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

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Isolated Avulsion Fracture of the Superior Border of the Scapula: A Case Report: Suk Woong Yoon, Sang Deog Kim; J Korean Soc Fract 2000;13(4):948-951. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.948

Abstract PDF: Avulsion fracture of the scapula by the indirect trauma, especially avulsion fracture of isolated superior border is very rare. We experienced a case of isolated avulsion fracture of the superior border of the scapula and report the clinical and radiographic findings in detail.

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Operative Treatment of Fracture of the Body of the Scapula: Moon Gu Choi, Hyoung Min Kim, Youn Soo Kim, Kee Haeng Lee, Chang Hoon Chung, Kwang Yeol Lee; J Korean Soc Fract 1999;12(3):698-703. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.698

Abstract PDF: PURPOSE
Although fracture of the body of the scapula have been treated successfully by conservative treatment but residual deformity was high and related to the residual symptom. Authors had done open reduction and internal fixation with wiring in the case of severe displacement of the fracture fragment of the body of scapula and analyzed that results. MATERIAL AND METHODS: Authors treated 18 cases of fracture of the body of the scapula in 17 patients from October, 1985 to June, 1996. Conservatively treated group was 12 cases which has less than 2cm displacement and operatively treated group was 6 cases which has more than 2cm displacement of the fracture fragment. Internal fixation was done with wiring. All cases was followed up average 1 year 9 months(from 13 months to 8 year 8 months) and evaluated by McGinnis assessment system.
RESULTS
All cases united within ten weeks. Five cases in the operatively treated six cases got anatomic reduction and stable fixation with wiring and had no operation related complication. Operatively treated group has average 2.83 associated injury and conservatively treated group has average 1.87 Neurovascular complication compromised the results.
CONCLUSION
Operative treatment of the fracture of the scapular body can reduce the residual deformity and residual symptom in the severely displaced case and facilitate early rehabilitation.

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The Operative Treatment of Scapula Fracture: Joo Tae Park, Gil Yeong Ahn, Young Shik Shin, dong Keun Kim; J Korean Soc Fract 1998;11(1):41-46. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.41

Abstract PDF: Fractures of the scapula are rare and those were treated conservatively, in general. But, some instances, conservative care cases remain limitation of range of motion, long standing pain and insufficiency of the muscle power. The purpose of his study is to evaluate the clinical results of the operative treatment on the scapular fracture. From May 1989 to December 1994, we treated 17 scapular fractures by the open reduction and internal fixation. We were able to follow up 14 cases, of which 11 cases(79%) had complete functional recovery. The other 3 cases (21%) had varying degree of pain, loss of mobility and weakness. Overall, however, 13 cases (93%) patients had good to excellent results.

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K-wire Migration into the Thoracic Cavity after Surgery of Scapular Fracture: A Case Report: In Ju Lee, Nam Yong Choi, Young Chae Lee, Hyun Seok Song; J Korean Soc Fract 1996;9(2):326-329. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.326

Abstract PDF: The use of smooth and threaded pins for internal fixation is often complicated by component migration to a part of the body especially when employed about the acromioclavicuiar Joint. A case report of K-wire migration into the thoracic cavity following surgery of scapular fracture is presented. This phoenomenon occurred despite efforts to bend the lateral ends of the pins to prevent medial migration. If pins or wires are employed even bent at the lateral ends, chinidcal and x-ray follow up should be frequent. The pins should be removed immediately on obtaining the desired therapy.

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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

Abstract PDF

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.

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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

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