Corrective Osteotomy for Malunited Fracture of the Glenoid Cavity

Haraguchi, Naotsugu; Toga, Hidekazu; Sekiguchi, Yasuhiro; Kato, Fumio

doi:10.1097/00003086-200211000-00041

Cited by 8 publications

(5 citation statements)

References 21 publications

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“…Fracture lines are obscured by callus, and contracted tissues around the shoulder girdle tether key fragments even after osteoclasis. 24,25 Although this is the first paper dedicated to early clinical outcomes in patients following delayed operative treatment of fractures of the scapula, others have recorded satisfactory results in mixed series. 6,7,26 Our study has limitations.…”

Section: Discussionmentioning

confidence: 98%

Delayed operative management of fractures of the scapula

Herrera

Anavian

Tarkin

et al. 2009

The Journal of Bone and Joint Surgery. British volume

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Between 1998 and 2007, 22 patients with fractures of the scapula had operative treatment more than three weeks after injury. The indications for operation included displaced intra-articular fractures, medialisation of the glenohumeral joint, angular deformity, or displaced double lesions of the superior shoulder suspensory complex. Radiological and functional outcomes were obtained for 16 of 22 patients. Disabilities of the Arm, Shoulder, Hand (DASH) and Short form-36 scores were collected for 14 patients who were operated on after March 2002. The mean delay from injury to surgery was 30 days (21 to 57). The mean follow-up was for 27 months (12 to 72). At the last review the mean DASH score was 14 (0 to 41). Of the 16 patients with follow-up, 13 returned to their previous employment and recreational activities without restrictions. No wound complications, infection or nonunion occurred. Malunion of the scapula can be prevented by surgical treatment of fractures in patients with delayed presentation. Surgery is safe, effective, and gives acceptable functional results.

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Section: Discussionmentioning

confidence: 98%

Delayed operative management of fractures of the scapula

Herrera

Anavian

Tarkin

et al. 2009

The Journal of Bone and Joint Surgery. British volume

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“…There is only one case of reconstruction surgery of "intra-articular scapular nonunion," reported by Haraguchi, 19 and there are no reports of reconstruction surgery of extra-and intra-articular scapular nonunion "after primary surgery." In the case reported by…”

Section: Discussionmentioning

confidence: 99%

“…There is only one case of reconstruction surgery of “intra-articular scapular nonunion”, reported by Haraguchi, 19 and there are no reports of reconstruction surgery of extra- and intra-articular scapular nonunion “after primary surgery”. In the case reported by Haraguchi, a deltopectoral approach was chosen because a large defect would be produced by reduction in the anterior aspect of the glenoid neck.…”

Section: Discussionmentioning

confidence: 99%

“…Twenty-two cases 1 , 3 , 5 , 8 , 11 , 12 , 13 , 14 , 18 , 21 , 23 , 25 , 26 , 27 , 28 , 29 , 35 involved extra-articular scapular nonunions, and most patients underwent open reduction and internal fixation (ORIF) using a Judet approach. However, only one case 19 involved intra-articular scapular nonunion, and ORIF was performed through a deltopectoral approach. Reports of the reconstruction for the “intra-articular” scapular nonunion are extremely rare, and no study has reported the reconstruction for the “postoperative” scapular nonunion.…”

mentioning

confidence: 99%

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Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

Matsuo

Yoshikawa

Oki

et al. 2022

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Failure to consider surgery when one or more criteria are present leads to malunion, functional and morphological impairment [ 13 ]. Osteotomy for symptomatic malunion of the scapula has been proposed by various authors in case reports and case series, and resulted in deformity correction, resolution of pain, improvement in function and in quality of life [ 13 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

Use of patient-specific guides and 3D model in scapula osteotomy for symptomatic malunion

Cattaneo,

Domenicucci,

Galante

et al. 2023

3D Print Med

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Background Scapular osteotomy for malunion can lead to resolution of pain and functional improvement in scapula fracture sequelae. Understanding three-dimensional bone morphology and analysing post-traumatic deformity is the main step of planning and the key to success of the procedure. 3D models and patient-specific guides are a growing technology to enhance accuracy of planning and to assist during surgery. Case presentation We report the case of a 50 years old male, complaining of pain and limited function after a malunited scapular body fracture. Clinical assessment showed a severe impairment of shoulder function with active and passive forward flexion limited to 80°, absent external rotation, and internal rotation limited to the buttock. X-rays and CT scan showed an excessive lateral border offset of 53 mm and complete displacement of the glenoid segment anteriorly and medially to the scapular body, with impingement between the lateral most prominent scapular bone spur and humeral shaft. Glenopolar angle was 19°, scapular body angulation on the sagittal plane was 12°. Corrective osteotomy was planned on a virtual interactive rendering and on 3D printed models. Patient-specific guides were developed to perform a body-spine osteotomy with removal of a bone wedge, and a glenoid-spine osteotomy; a patient-specific wedge spacer was used to hold the reduction during plate fixation. Follow-up up to 12 months after surgery demonstrated improvement in scapula anatomy, shoulder girdle function, and patient-reported outcomes. Conclusions For the first time in scapula malunion surgery, patient-specific osteotomy guides were succesfully used during surgery to perform osteotomies and to assist in reduction maneuvers.

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Corrective Osteotomy for Malunited Fracture of the Glenoid Cavity

Cited by 8 publications

References 21 publications

Delayed operative management of fractures of the scapula

Delayed operative management of fractures of the scapula

Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

Use of patient-specific guides and 3D model in scapula osteotomy for symptomatic malunion

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