Epidemiology of scapular fractures Incidence and classification of 338 fractures

Ideberg, Rolf; Grevsten, Sven; Larsson, Sune

doi:10.3109/17453679508995571

Cited by 297 publications

(176 citation statements)

References 10 publications

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“…Knapp 1% aller Frakturen betreffen die Skapula, wobei, je nach Autor, nur 10-20% mit einer Gelenkbeteiligung einhergehen [9,13,22].…”

Section: äTiologie Und Unfallmechanismusunclassified

“…Skapulafrakturen mit Gelenkbeteiligung wurde von Ideberg [12] hand ihrer Größe, wonach Glenoidrandfrakturen ≤5 mm als 1A (entspricht der knöchernen Bankart-Läsion) und >5 mm als 1B (entspricht der Bankart-Fraktur) klassifiziert werden [13]. Goss [8] …”

Section: Klassifikationunclassified

“…Sie stehen im Gegensatz zu den Fossafrakturen häufiger mit Luxationstraumen des Humeruskopfs in Verbindung [13]. Dabei kommen die anterioren im Vergleich zu den posterioren Glenoidrandfrakturen deutlich häufiger vor ( [9,13], .…”

Section: Glenoidrandfrakturenunclassified

“…Dabei kommen die anterioren im Vergleich zu den posterioren Glenoidrandfrakturen deutlich häufiger vor ( [9,13], . Abb.…”

Section: Glenoidrandfrakturenunclassified

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Skapulafrakturen

Königshausen

Geßmann

Schildhauer

et al. 2013

Trauma Berufskrankh

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“…Knapp 1% aller Frakturen betreffen die Skapula, wobei, je nach Autor, nur 10-20% mit einer Gelenkbeteiligung einhergehen [9,13,22].…”

Section: äTiologie Und Unfallmechanismusunclassified

Section: Klassifikationunclassified

Section: Glenoidrandfrakturenunclassified

“…Dabei kommen die anterioren im Vergleich zu den posterioren Glenoidrandfrakturen deutlich häufiger vor ( [9,13], . Abb.…”

Section: Glenoidrandfrakturenunclassified

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Skapulafrakturen

Königshausen

Geßmann

Schildhauer

et al. 2013

Trauma Berufskrankh

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“…Typically, extraarticular scapular body fractures can be managed nonoperatively, but those patterns with extension into the glenoid articular surface often require operative intervention. Ideberg et al 1 provided a classification system for these intra-articular fracture patterns, with subsequent modification, 2 that has been useful in determining treatment. In the past, these fracture patterns were treated exclusively through an open Judet approach.…”

mentioning

confidence: 99%

Arthroscopic Reduction and Internal Fixation of an Inferior Glenoid Fracture With Scapular Extension (Ideberg V)

Tuman

Bishop

Abrams

2015

Arthroscopy Techniques

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Arthroscopic reduction and internal fixation of glenoid fractures have been well described, especially for glenoid rim (Bankart) fractures, as well as for scapular body fractures with extensions into the articular surface. This approach has the advantage of decreasing comorbidities associated with a standard open approach, but it can be technically challenging and may not be amenable to all fracture patterns. Arthroscopic fixation of scapular fractures incorporating a transverse pattern along the inferior aspect of the glenoid is particularly challenging because of difficulty in accessing this space. We detail the use of a posteroinferior arthroscopic portal for fracture reduction and hardware placement in a scapular fracture with inferior glenoid involvement.

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Comparison of 2 versus 3 dimensional fracture mapping strategies for 3 dimensional computerized tomography reconstructions of scapula neck and body fractures

Dugarte

Tkany

Schroder

et al. 2017

Journal Orthopaedic Research

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Fracture mapping has been used in the understanding of injury patterns in different bones. To our knowledge, there are no applications of this technique using three-dimensional (3D) morphologic fracture characteristics. Previously, scapula fractures were mapped by transferring information from 3D computed tomography to a two-dimensional (2D) template. Cole et al. determined that 3D Computerized Tomography (CT) scans were more reliable compared to plain radiographs in terms of scapular angulation, translation, and glenopolar angle measurements. Thus, we hypothesized that if there is a difference between fracture lines drawn in 3D and in 2D, then the 3D mapping would yield more accurate fracture patterns. We completed a retrospective, comparative study (evidence level III) utilizing CT imaging from a single center scapular registry. We studied ten patients with scapula fractures in whom bilateral CT scans were obtained. Fractures were mapped both two and three-dimensionally, and we measured deviations between the fracture lines that were drawn with each approach. The measured deviations ranged from 10.4 mm to 28.0 mm when comparing 2D versus 3D techniques, with the mean deviation being 4.0 mm and 10.4 mm, respectively. Half of the 2D renderings possessed hidden fracture lines that were later revealed on 3D imaging. Three-dimensional renderings were more accurate when compared to 2D fracture mapping methods. This more accurate technique will allow for better understanding of 3D morphology and provide a basis for future fracture mapping in any bone. Accurate mapping is important because surgical approach, reduction, fixation, and implant design and selection are based on fracture patterns. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:265-271, 2018.

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Epidemiology of scapular fractures Incidence and classification of 338 fractures

Cited by 297 publications

References 10 publications

Skapulafrakturen

Skapulafrakturen

Arthroscopic Reduction and Internal Fixation of an Inferior Glenoid Fracture With Scapular Extension (Ideberg V)

Comparison of 2 versus 3 dimensional fracture mapping strategies for 3 dimensional computerized tomography reconstructions of scapula neck and body fractures

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