Fractures of the scapula: long-term results after conservative treatment

Schofer, Markus D.; Sehrt, A; Timmesfeld, Nina; Störmer, Sabine; Kortmann, H.-R.

doi:10.1007/s00402-009-0855-3

Cited by 55 publications

(41 citation statements)

References 21 publications

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“…However, the highest score in this category reported by Edwards et al (13) could not be reached even in the control groups (contralateral uninjured upper limb) of other studies (24).…”

Section: Discussionmentioning

confidence: 64%

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A Meta-Analysis of Operative Versus Nonoperative Treatment In 463 Scapular Neck Fractures

Dienstknecht¹,

Horst²,

Pishnamaz³

et al. 2013

Scand J Surg

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Background and Aims: Treatment of scapular neck fractures remains controversial. Advantages of surgical treatments, such as anatomical restoration of fracture displacement, are counterbalanced by approach morbidity. We conducted a meta-analysis of 463 scapular neck fractures and compared clinical, functional, and radiographical outcomes in operatively and nonoperatively treated scapular neck fractures.Material and Methods: A literature search was conducted, including the databases PubMed/MEDLINE, Embase, and the Cochrane Database of Systematic Reviews. Manuscripts were included if they reported a precise description of treatment, complications, functional outcomes, and/or radiographic evaluation. Data about day-to-day activities, level of pain-freeness, range of motion, functional grading, and radiographical assessment were pooled and compared using fixed effects models.Results and Conclusions: A total of 22 manuscripts were relevant, including 1 prospective cohort study and 21 retrospective studies. The studies showed a high heterogeneity in the result assessment. Most patients had concomitant injuries. In total, 234 out of the 463 fractures were treated operatively. Pain-freeness and radiographic outcome measurements were significantly better in the operatively treated group, whereas range of motion was significantly improved in the nonoperative treated patients. Complication rate for surgical treatment was about 10%. From the achievable data, there was no bias detected when comparing the two treatment groups. However, those data could not be analyzed for all included studies. For the same reason, the role of additional surgical treatment for concomitant injuries to the shoulder girdle could not be cleared completely. Caution should be exercised, and individual injury patterns have to be taken into consideration when considering the best treatment options.

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“…However, the highest score in this category reported by Edwards et al (13) could not be reached even in the control groups (contralateral uninjured upper limb) of other studies (24).…”

Section: Discussionmentioning

confidence: 64%

“…The effect of concomitant injuries is eagerly discussed. Whereas Schofer et al (24) deducted no influence, Bozkurt et al (12) summarized that these were important factors to be considered when evaluating the reasons for different functional outcomes. There was no influence of gender in any study.…”

Section: Discussionmentioning

confidence: 99%

A Meta-Analysis of Operative Versus Nonoperative Treatment In 463 Scapular Neck Fractures

Dienstknecht¹,

Horst²,

Pishnamaz³

et al. 2013

Scand J Surg

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show abstract

“…Da für eine Schulterblattfraktur in der Regel direkte Gewalteinwirkungen notwendig sind, sind diese Verletzungen häufig mit teils schweren Begleitverletzungen, insbesondere der unmittelbar benachbarten Regionen wie Thorax (54%) und Klavikula (27%), assoziiert [22,27,30].…”

Section: äTiologie Und Unfallmechanismusunclassified

Skapulafrakturen

Königshausen

Geßmann

Schildhauer

et al. 2013

Trauma Berufskrankh

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“…1,2 Scapular fractures often occur in high trauma, blunt force injuries such as motor vehicle accidents or falling from significant heights. [1][2][3][4][5] …”

Section: Uniquenessmentioning

confidence: 99%

Chronic Subluxation and Relocation of the Shoulder in a Collegiate Dodgeball Player

Stupecki¹,

Doles²

2018

JSMAHS

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Fractures of the scapula: long-term results after conservative treatment

Abstract: After conservative treatment, scapular fractures heal with a good functional result despite measurable restrictions.

Cited by 55 publications

References 21 publications

A Meta-Analysis of Operative Versus Nonoperative Treatment In 463 Scapular Neck Fractures

A Meta-Analysis of Operative Versus Nonoperative Treatment In 463 Scapular Neck Fractures

Skapulafrakturen

Chronic Subluxation and Relocation of the Shoulder in a Collegiate Dodgeball Player

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