Pseudarthrosis of the spine of the scapula–case report of a minimally invasive osteosynthesis technique

Abstract

To cite this article: Paul Böhm (1998) Pseudarthrosis of the spine of the scapula-case report of a minimally invasive osteosynthesis technique, Acta Orthopaedica Scandinavica, 69:6, 645-647,

Pseudo-arthrosis of the spine of the scapula: a case report with a delayed diagnosis

“…Scapular fractures are rare injuries which consist of 1 % of all fractures and 5 % of shoulder girdle fractures [ 1 , 2 ]. Most of the scapular fractures are neck and body fractures, and only 6 % of scapular fractures are scapular spine fractures [ 3 ].…”

Non-union of Scapular Spine Fracture Case-Report: A Cause of Classical Subacromial Impingement Syndrome

“…Early physioterapy starting 7 to 10 dyas after initial injury is recomended by most of the authors, and healing times of scapular fractures generally range from 6 to 8 weeks [7,8] . Nevertheless, there are few reports published of scapular fractures non unions, in which most of the cases after misdiagnosed and absence of inadequate immobilization and physiotherapy control program, had leaded to failed healing of the fracture after conservative treatment, resulting in final surgical fixation [1,9] . In the present case, adequate immobilization at the time of the initial injury was not Peer Reviewer: Jingming Xie performed and a combination of chronic pain and progressive rotator cuff dysfunction was the initial presentation at our institute 2 years later.…”

“…Curtis el al [8] reported a case of delayed scapular spine fracture union 7 months post-injury which healed 6 months following successful treatment by transcutaneous electrical bone growth stimulation. However, many others have published positive results with surgical fixation of lateral spine non-unions [1,9] . Differences in healing times after surgical fixation of scapular non-union have also been published by others.…”

“…Differences in healing times after surgical fixation of scapular non-union have also been published by others. Bohm reported [9] bone healing at 9 weeks postoperatively by CT with minimally invasive lag screw technique fixation. Recently, Copuroglu et al [1] treated a scapular spine non-union by plate fixation and reported limited healing of the non-union at 6 months postoperatively by conventional radiographic control, with complete healing at 2 years by CT control.…”

Case Report: Reconstruction of a Recalcitrant Scapular Neck Nonunion and Literature Review

“…A 2008 English-language search of the medical literature discovered only 15 cases of scapula nonunion after nonoperative management. These reported cases included four body fractures [11,13,16,25], five acromion fractures [8,9,26,27,29], three scapular spine fractures [1,4,31], two coracoid fractures [12,29], and one report of a nonunion involving the scapular body, spine, and coracoid process [5].…”