Injury mechanism, epidemiology, and Hospital trends of scapula fractures: A 10-year retrospective study of the National Trauma Data Bank

Tatro, Joscelyn M.; Schroder, Lisa K.; Molitor, Beth A.; Parker, Emily D.; Cole, Peter A.

doi:10.1016/j.injury.2019.01.017

Cited by 28 publications

(23 citation statements)

References 17 publications

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“…There are also international and Swedish examples of trauma databases, such as the American National Trauma Databank (NTDB) and the Swedish National Trauma Registry (SweTrau) [18,19] . These databases focus on general trauma and may be feasible for performing studies of mortality and epidemiology, for example [20][21][22] . However, the data they collect are not as detailed in terms of fractures as those collected by a specific fracture register.…”

Section: Fracture Registersmentioning

confidence: 99%

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Wennergren

Bergdahl

Ekelund

et al. 2018

Injury

110

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Section: Fracture Registersmentioning

confidence: 99%

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Wennergren

Bergdahl

Ekelund

et al. 2018

Injury

110

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“…I solated coracoid fractures and acromion fractures are rare 1,2 . Combined coracoid and acromion fractures, which are usually referred to as double disruptions of the SSSC, are even more uncommon 3 .…”

mentioning

confidence: 99%

Anatomic Restoration of Triple Disruption of the Superior Shoulder Suspensory Complex: A Case Report and Review of the Literature

Zha

et al. 2020

Orthopaedic Surgery

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Background: Multiple disruptions of the superior shoulder suspensory complex (SSSC) involving more than two components are extremely rare. In some extreme situations, three components of the SSSC structure can be involved. The ideal treatment for this type of injury is debatable. Case presentation: A 21-year-old woman was referred to our emergency center following a traffic accident. A threedimensional CT scan showed triple disruption of the SSSC involving concomitant ipsilateral fractures of the coracoid, the acromion, and the distal clavicle. The connection between the upper limber and the axial skeleton was destroyed. There was no evidence of associated injury and the neurovascular examination of the injured upper limb was normal. The patient underwent an open reduction and internal fixation to restore the anatomic integrity of the SSSC. The arm was supported in a broad arm sling for 2 weeks after surgery. Gentle passive range of motion activity under analgesic was encouraged from the second day postoperatively. One year and half after the operation, the patient had regained pain free and unrestricted shoulder stability and mobility. Conclusion: The manifestations of multiple disruptions of the SSSC may be variable. This case illustrated the challenges of treating the multiple disruption of the SSSC structure. It also showed that surgical intervention for this rare combination injury yields an excellent functional result. The good outcome achieved in this patient demonstrates that surgical intervention might be an optional resolution for multiple disruptions of the SSSC.

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“… 9 The rate of this particular injury appears to be rising; the USA National Trauma Data Bank demonstrated a doubling (from 1% to 2.2% of all patients entered onto the data bank having a scapular fracture) over a single decade. 10 However, the increased use of computerized tomography (CT) to assess trauma patients means that more scapula fractures are being identified – a study involving patients undergoing chest imaging for blunt injuries at nine level 1 trauma centres included 11,477 subjects and found scapula fractures in 2.7% of these, 60.3% of which were not visible on chest radiographs and only seen on the CT scan. 11 …”

Section: Introductionmentioning

confidence: 99%

Scapula fractures: a review

Limb

2021

EFORT Open Reviews

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A consensus is beginning to emerge about the indications for fixation of fractures involving the glenoid fossa of the scapula. The same cannot be firmly said for extra-articular fractures of the blade or the processes of the scapula, with a good deal of reliance on expert opinion from high-volume centres. There are no randomized controlled studies and the systematic reviews that do exist can only pool the data from available case series, making meaningful meta-analysis of limited value. Interest in scapula fractures has increased of late due to the specific association of fractures of the scapular spine and acromion with reverse shoulder arthroplasty. This review summarizes the available evidence that can assist decision making when faced with a patient with a scapula fracture. Which patients should at least be considered for open reduction and internal fixation, either in the centre where they present or after referral to a more specialist centre? These patients are those with a fracture sufficiently displaced that it interferes with the mechanical function of the shoulder girdle and the aim of fixation is to reduce pain and disability. Since the majority of scapula fractures heal quickly with non-surgical treatment and do not cause significant disability, decision making can be difficult, and it is perhaps the case that it is easier to err on the side of caution. However, it seems that there are fracture types, such as significantly displaced double disruptions of the superior suspensory complex, widely displaced lateral column fractures and fractures producing angular deformity of the glenoid process, that benefit from early reduction and stabilization with the expectation of a good outcome for the patient. Cite this article: EFORT Open Rev 2021;6:518-525. DOI: 10.1302/2058-5241.6.210010

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Injury mechanism, epidemiology, and Hospital trends of scapula fractures: A 10-year retrospective study of the National Trauma Data Bank

Cited by 28 publications

References 17 publications

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Epidemiology and incidence of tibia fractures in the Swedish Fracture Register

Anatomic Restoration of Triple Disruption of the Superior Shoulder Suspensory Complex: A Case Report and Review of the Literature

Scapula fractures: a review

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