Seltene Verletzungsfolgen an der Spina scapulae

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

“…In most cases, closed or no treatment is sufficient for fractures of the scapula and especially for fractures of the spine of the scapula (Rowe 1963, Izadpanah 1975, Tscheme and Christ 1975, Russe 1976, Wilber and Evans 1977, McGahan et al 1980, Armstrong and Van der Spuy 1984, Hardegger et al 1984. In painful pseudar@oses of the spine of the scapula operative treatment is indicated (Gordes andHessert 1970, Robinson andCourt-Brown 1993). From the mechanical point of view, the fracture of the spine of the scapula shown here resembles a type IB fracture of the acromion, according to the classification system of Kuhn and coworkers (1994).…”

“…The pull of the deltoid muscle can tilt the fragment inferiorly, which compromises the function of the rotator cuff (Hardegger et al 1984). A pseudarthrosis of the spine of the scapula is extremely rare (Gordes andHessert 1970, Robinson andCourt-Brown 1993) and there is no information about subacromial impingement in such a case. The few published cases of pseudarthrosis of the spine of the scapula were treated by resection of the fibrous tissue, bone grafting of the fracture site and rigid fixation (Gordes andHessert 1970, Robinson andCourt-Brown 1993).…”

“…A pseudarthrosis of the spine of the scapula is extremely rare (Gordes andHessert 1970, Robinson andCourt-Brown 1993) and there is no information about subacromial impingement in such a case. The few published cases of pseudarthrosis of the spine of the scapula were treated by resection of the fibrous tissue, bone grafting of the fracture site and rigid fixation (Gordes andHessert 1970, Robinson andCourt-Brown 1993). The technique used in my case-that is, compression of the pseudarthrosis, with one cancellous lag screw, without exposure, debriding or grafting, was sufficient for this old pseudarthrosis.…”

Nonunion of the so-called acromion: a systematic review with consideration of the terminology

“…type Complications SSSC injury Period from injury to final Tx. & cause of delay 1 1942 Horn [ 59 ] 49/M/R Quetionable II Coracoid fx Double Acute 2 1970 Gordes and Hessert [ 22 ] 22/M/R Traffic accident II Scapular neck fx Double 6 M Overlooked 3 1970 Gordes and Hessert [ 22 ] 59/F/R Trapped in closing tram door III Scapular neck fx Double 14 M Left untreated & overlooked 4 1983 Mick and Weiland [ 62 ] 57/M/R Fall during syncopal episode II 5.5 M (1.5 M Left untreated & 4 M Cons.) 5 1987 Morisawa et al [ 44 ] 40/M/R Traffic accident III Cranial fx., multiple rib fx., hemothorax 3 M Overlooked 6 1992 Marr and Misamore [ 45 ] 34/F/R Anterior acromioplasty III …”

“…The exclusion criteria were descriptive articles or cases, articles or cases without appropriate images to enable the evaluation of the injury details, stress fractures, a young patient with an unfused acromion physis, and fractures in patients with a history of surgical intervention that weakens acromion/spine. Citation tracking was conducted to find additional related English articles and notable full-text articles written in other languages, which were carefully selected and added to the qualitative synthesis (five studies) [ 22 , 44 , 59 – 61 ] (Fig. 3 ).…”