• Arch Orthop Trauma Surg · Jun 2022

    Review

    History of diagnostics and treatment of scapular fractures in children and adolescents and its clinical importance.

    • Jan Bartoníček and Ondřej Naňka.
    • Institute of Anatomy, 1st Faculty of Medicine, Charles University, U Nemocnice 3, 128 00, Prague, Czech Republic.
    • Arch Orthop Trauma Surg. 2022 Jun 1; 142 (6): 1067-1074.

    AbstractAlmost 70 scapular fractures in children and adolescents, up to the age of 17 years, have been described in detail in the literature since 1839. The diagnosis of these injuries was based on autopsy, radiographs, CT and MRI examinations. The most frequent findings were fractures/epiphyseolyses of the coracoid, followed by fractures of the infraspinous part of the body and avulsion of the inferior angle of the scapular body. Less common were fractures of the acromion. Intra-articular fractures of the glenoid, or separation of an intact glenoid along the line of the anatomical or surgical necks, were reported only sporadically. Scapulothoracic dissociation was also recorded in several cases. The majority of fractures were treated non-operatively; operative treatment was used in glenoid fractures, certain fractures of the coracoid and fractures of the scapular body with intrathoracic penetration. Except for scapulothoracic dissociation, outcomes of treatment of these injuries were very good.© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.

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