680 results match your criteria Fracture Scapular


The Role of Reverse Shoulder Arthroplasty in Elderly Trauma: A Systematic Review.

Cureus 2020 May 18;12(5):e8180. Epub 2020 May 18.

Trauma and Orthopedics, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, GBR.

Objectives: The primary objective of this systematic review was to evaluate pain relief and shoulder functional outcome following reverse shoulder arthroplasty for three- and four-part proximal humerus fractures in patients over the age of 60 years. The secondary objective was to assess the clinical end radiological complications following this procedure for this indication.

Methods: Studies were identified using a MEDLINE search for relevant articles on 20th May 2019. Read More

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http://dx.doi.org/10.7759/cureus.8180DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301430PMC

Trends in scapular fractures: a nationwide 17-year study in Finland.

JSES Int 2020 Mar 20;4(1):59-62. Epub 2019 Dec 20.

Department of Orthopaedics, Unit of Musculoskeletal Surgery, Tampere University Hospital, Tampere, Finland.

Background: The aim of this study was to examine the trends in the number and incidence of scapular fractures causing hospitalization in the Finnish adult population between 1998 and 2014.

Methods: We assessed the number and incidence of scapular fractures resulting in hospital admission and fixation with a plate in Finland in 1998 through 2014 using the Finnish National Hospital Discharge Register as the database. In each year, the study included the entire Finnish adult population. Read More

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http://dx.doi.org/10.1016/j.jses.2019.10.111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075765PMC

Periprosthetic Fractures in Reverse Total Shoulder Arthroplasty: Current Concepts and Advances in Management.

Curr Rev Musculoskelet Med 2020 Jun 6. Epub 2020 Jun 6.

Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.

Purpose Of Review: Expanded indications for reverse total shoulder arthroplasty (RSA) have raised awareness of associated complications, including periprosthetic fractures. The purpose of this article was to provide a comprehensive update on how, when, and why RSA-related periprosthetic fractures occur, as well as to describe the current treatment strategies.

Recent Findings: Periprosthetic acromial and scapular spine fractures occur in up to 4. Read More

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http://dx.doi.org/10.1007/s12178-020-09654-8DOI Listing

Clavicular osteotomy in complicated revision of total shoulder arthroplasty: indications, surgical technique, and outcomes.

Int Orthop 2020 Jul 30;44(7):1341-1352. Epub 2020 May 30.

Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, 10 C. Heymanslaan, Entrance 75, Route 740, 9000, Ghent, East Flanders, Belgium.

Purpose: Adequate exposure in revision of total shoulder arthroplasty (TSA) is important for optimal prosthesis placement and functional results. A clavicular osteotomy in difficult cases of revision TSA is a useful surgical technique that increases the superior exposure area, provides safer dissection, minimizes damage to the anterior deltoid muscle, improves glenoid access, and allows for superior dislocation of the humeral component. There is a paucity of literature analyzing the clavicular osteotomy during challenging cases of revision TSA. Read More

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http://dx.doi.org/10.1007/s00264-020-04573-2DOI Listing

Fractures of the coracoid process - pathoanatomy and classification: based on thirty nine cases with three dimensional computerised tomography reconstructions.

Int Orthop 2020 May 20. Epub 2020 May 20.

Institute of Anatomy, First Faculty of Medicine, Charles University Prague, Prague, Czech Republic.

Purpose: Until now, classifications of coracoid fractures have been based on plain radiographs, without use of 3D CT reconstructions. Therefore, the aim of the present study has been to describe the pathoanatomy of these fractures and their associated injuries to the shoulder girdle, on the basis of 3D CT reconstructions.

Methods: The cohort comprised 39 patients, who each sustained a coracoid fracture investigated with 3D CT reconstructions. Read More

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http://dx.doi.org/10.1007/s00264-020-04634-6DOI Listing

Impact of scapular notching on glenoid fixation in reverse total shoulder arthroplasty: an in vitro and finite element study.

J Shoulder Elbow Surg 2020 May 12. Epub 2020 May 12.

Beijing Advanced Innovation Centre for Biomedical Engineering and School of Biological Science and Medical Engineering, Beihang University, Beijing, China.

Background: The high incidence of scapular notching in reverse total shoulder arthroplasty (RTSA) has spurred several methods to minimize bone loss. However, up to 93% of RTSAs accompanying scapular notching have been reported to maintain good implant stability for over 10 years. This study was conducted to investigate the relationship between scapular notching and glenoid fixation in RTSA. Read More

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http://dx.doi.org/10.1016/j.jse.2020.01.087DOI Listing

Radiographic correlation of clinical shoulder deformity and patient perception following scapula fracture.

Injury 2020 Jul 22;51(7):1584-1591. Epub 2020 Apr 22.

Department of Orthopaedic Surgery, University of Minnesota, Regions Hospital, St. Paul, MN. Electronic address:

Background: Interest in operative management of scapular fractures is increasing based upon defined radiographic displacement criteria and growing awareness that certain extra-articular fractures will not do well and result in dysfunction and deformity (slumped shoulder). We intend to quantify clinical deformity, analyze correlations of these novel measures with defined radiographic measures of fracture displacement and with the patients' reported perception of their deformity.

Methods: Prospectively enrolled patients underwent standardized questioning regarding their perception of the deformity. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.017DOI Listing

Arthroscopic, Implant-Free Bone-Grafting for Shoulder Instability with Glenoid Bone Loss.

JBJS Essent Surg Tech 2020 Jan-Mar;10(1). Epub 2020 Mar 23.

Vienna Shoulder & Sports Clinic, Vienna, Austria.

Anterior shoulder instability is commonly associated with injuries to the labrocapsular structures of the glenohumeral joint and with osseous glenoid defects of varying degree. If the bone defect exceeds a clinically relevant threshold, mere soft-tissue repairs result in high rates of recurrent instability and the glenoid needs to be reconstructed with osseous augmentation. The most popular techniques for glenoid reconstruction include variations of coracoid transfer or bone-block procedures; however, these procedures are not free from risks and complications, which are often related to the method of fixation. Read More

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http://dx.doi.org/10.2106/JBJS.ST.18.00109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161733PMC

[Fracture diagnosis: upper extremities : Shoulder and shoulder girdle].

Radiologe 2020 Jun;60(6):541-548

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Hannover, Deutschland.

Background: The shoulder girdle is a chain of bones and joints which connect the upper extremity to the axial skeleton. The shoulder as a biomechanical unit has a remarkable range of motion and is therefore frequently prone to injuries of the three major joints (sternoclavicular joint, acromioclavicular joint, glenohumeral joint) and the bony elements (clavicle, scapula, humerus). Projection radiography is still the first imaging modality for injuries of the shoulder and usually sufficient for initial diagnosis and injury classification. Read More

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http://dx.doi.org/10.1007/s00117-020-00682-6DOI Listing

Scapular Ring Preservation: Coracoacromial Ligament Transection Increases Scapular Spine Strains Following Reverse Total Shoulder Arthroplasty.

J Bone Joint Surg Am 2020 Apr 20. Epub 2020 Apr 20.

Hospital for Special Surgery, New York, NY.

Background: Scapular fractures following reverse total shoulder arthroplasty (RSA) are devastating complications with substantial functional implications. The role of the coracoacromial ligament (CAL), which is often transected during surgical exposure for RSA, is not fully known. We hypothesized that the CAL contributes to the structural integrity of the "scapular ring" and that the transection of this ligament during RSA alters the scapular strain patterns. Read More

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http://dx.doi.org/10.2106/JBJS.19.01118DOI Listing

Proximal Humerus Tumors: Higher-than-Expected Risk of Revision With Constrained Reverse Shoulder Arthroplasty.

Clin Orthop Relat Res 2020 Apr 10. Epub 2020 Apr 10.

M. Ayvaz, R. M. Cetik, S. Bakircioglu, A. M. Tokgozoglu, Hacettepe University Hospitals by the Hacettepe University Faculty of Medicine, Department of Orthopedics and Traumatology Musculoskeletal Oncology Group, Ankara, Turkey.

Background: The treatment of proximal humerus tumors with endoprostheses is associated with a high risk of implant-related surgical complications. Because of extensive soft-tissue resection and muscular detachment during surgery, instability is the most common serious complication. A reverse total shoulder arthroplasty with a highly constrained design is one option to mitigate instability, but few studies have reported the results of this prosthesis for proximal humerus tumor resections. Read More

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http://dx.doi.org/10.1097/CORR.0000000000001245DOI Listing

Reverse Total Shoulder Arthroplasty for Treatment of 3- and 4-Part Proximal Humeral Fractures: Clinical and Radiological Analysis With Minimum Follow-Up of 2 Years.

Geriatr Orthop Surg Rehabil 2020 25;11:2151459320915321. Epub 2020 Mar 25.

Department of Orthopedic Surgery, Hospital Beatriz Ângelo, Lisboa, Portugal.

Background: Hemiarthroplasty has been associated with inferior and unpredictable outcomes when used in the treatment of complex proximal humeral fractures in elderly patients. In this age-group, reverse shoulder arthroplasty is gaining popularity due to the promising results presented in recent evidence. Our aim is to analyze the cases of complex proximal humeral fractures treated by reverse shoulder arthroplasty, regarding functional results and complications. Read More

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http://dx.doi.org/10.1177/2151459320915321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7099668PMC

[Surgical treatment of an extraarticular scapula fracture. Case report and literature review].

Acta Ortop Mex 2019 Jul-Aug;33(4):265-270

Servicio de Ortopedia. Hospital General «Dr. Darío Fernández Fierro» Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE). Ciudad de México. México.

Introduction: Scapular fractures comprise 1% of all fractures and 3 to 5% of the shoulder, they occur in young patients by high energy trauma. Only 10% have surgical indication based on the alteration of the shoulders suspensory complex. The objective is to assess the outcome of patients with surgical indication as well as a review of the literature. Read More

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Concomitant Intra-Articular Glenohumeral Lesions in Fractures of the Scapula Body.

J Clin Med 2020 Mar 30;9(4). Epub 2020 Mar 30.

Klinikum rechts der Isar, Technische Universität München, Klinik und Poliklinik für Unfallchirurgie, Ismaninger Str. 22, 81675 München, Germany.

Background: Scapula body fractures are rare injuries with an incidence of 1% of all fractures accounting for 3% to 5% of all upper extremity fractures. Fractures of the scapula commonly result from high-energetic trauma and fall from great height. While several studies focused on concomitant injuries of chest and head as well as the cervical spine, up to now in the common literature, no study exists analyzing the prevalence of concomitant intra-articular glenohumeral injury following extra-articular scapular fracture. Read More

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http://dx.doi.org/10.3390/jcm9040943DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230789PMC

Reliability of Various Predictors for Preoperative Diagnosis of Infraclavicular Brachial Plexus Lesions with Shoulder and/or Elbow Paresis.

J Reconstr Microsurg 2020 Jul 23;36(6):445-449. Epub 2020 Mar 23.

Department of Plastic Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan.

Background:  The distinction between supraclavicular and infraclavicular acute brachial plexus injuries (BPIs) could be challenging in cases of combined shoulder and elbow paresis. The reliability of several preoperative predictors was investigated to avoid unnecessary dissection, prolonged operation time, increased postoperative morbidity, and long scars.

Methods:  Between 2004 and 2013, 75 patients, who sustained acute BPI and presented with motor paresis of shoulder and elbow with preservation of hand function, were included and studied retrospectively. Read More

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http://dx.doi.org/10.1055/s-0040-1702177DOI Listing

Missed posterior shoulder fracture dislocations: a new protocol from a London major trauma centre.

BMJ Open Qual 2020 Mar;9(1)

Trauma and Orthopaedics, Imperial College Healthcare NHS Trust, London, UK.

Background: A high incidence of missed posterior shoulder dislocations is widely recognised in the literature. Concern was raised by the upper limb multidisciplinary team at a London major trauma centre that these missed injuries were causing serious consequences due to the need for surgical intervention and poor functional outcome.

Objective: To identify factors contributing to missed diagnosis and propose solutions. Read More

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http://dx.doi.org/10.1136/bmjoq-2018-000550DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101033PMC

Long-term Functional Outcomes of Nonoperatively Treated Highly Displaced Scapular Body and Neck Fractures.

Orthopedics 2020 May 20;43(3):e177-e181. Epub 2020 Mar 20.

Historically, extra-articular scapular body fractures were treated nonsurgically, but displaced fractures of the glenoid neck can lead to dysfunction. Controversy exists regarding which extra-articular scapular fractures should be treated surgically; however, nonsurgical management of severely displaced scapular body fractures can result in satisfactory outcomes. Inclusion criteria for this study were medial or lateral displacement greater than 2 cm, angular deformity between fracture fragments greater than 45°, or glenopolar angle less than 22°. Read More

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http://dx.doi.org/10.3928/01477447-20200314-05DOI Listing

Scapula fracture secondary to metastatic pulmonary carcinoma in a horse: Clinical, sonographic, radiographic, computed tomographic, and pathologic findings.

Can Vet J 2020 Mar;61(3):251-256

William R. Pritchard Veterinary Medical Teaching Hospital (Pye, Roy), Department of Surgical and Radiological Sciences (Kilcoyne, Vaughan, Spriet), School of Veterinary Medicine, University of California at Davis, One Shields Avenue, Davis, California 95616, USA; Oak Hill Veterinary Services, PO Box 898, Orinda, California 94563, USA (Ormond).

A 20-year-old Quarter horse gelding was referred for evaluation of an acute onset non-weight-bearing right forelimb lameness. Marked soft tissue swelling was apparent over the right scapula and shoulder region; no crepitus was palpable. A complete transverse fracture of the scapular neck was suspected based on ultrasonography and radiographs were obtained to confirm the presumptive diagnosis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020627PMC

Posttraumatic Malunion Following Comminuted Scapular Fracture.

J Orthop Sports Phys Ther 2020 Mar;50(3):167

A 42-year-old male police officer sustained multiple injuries in a motorcycle accident, including a comminuted fracture of the scapula and several rib fractures. Four months after his injury, the patient was prescribed outpatient physical therapy, after 2 months of which the patient's cervical and lumbar spine function were restored but his shoulder mobility deficits persisted. A second physical therapy opinion was sought 6 months post injury for the left shoulder. Read More

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http://dx.doi.org/10.2519/jospt.2020.8927DOI Listing

Repair processes of flat bones formed via intramembranous versus endochondral ossification.

J Oral Biosci 2020 Mar 19;62(1):52-57. Epub 2020 Feb 19.

Department of Oral Anatomy and Developmental Biology, Showa University School of Dentistry, Shinagawa-ku, Tokyo, Japan. Electronic address:

Objectives: Although fractures occur in various bones, including long, short, and flat bones, fracture repair investigations focus on the diaphysis of the long bone. The cell composition, osteogenic capacity, and bone matrix differ among osteogenesis patterns. However, the differences in the bone repair process have not been studied. Read More

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http://dx.doi.org/10.1016/j.job.2020.01.007DOI Listing

Reverse shoulder arthroplasty in patients younger than 65 years, minimum 5-year follow-up.

J Shoulder Elbow Surg 2020 Jun 7;29(6):e215-e221. Epub 2020 Feb 7.

Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL, USA. Electronic address:

Background: Indications for reverse total shoulder arthroplasty (RTSA) are expanding, and more young patients are undergoing RTSA. Younger patients are expected to place increased functional demands on their shoulder, which may affect implant performance and longevity. Reports on longer-term outcomes in young patients remain limited. Read More

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http://dx.doi.org/10.1016/j.jse.2019.10.028DOI Listing

[Evaluation of total scapular arthroplasty after total scapulectomy for scapular tumors].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Feb;34(2):179-183

Department of Orthopedics, the First Medical Center, Chinese PLA General Hospital, Beijing, 100853, P.R.China.

Objective: To evaluate the effectiveness of total scapular arthroplasty after total scapulectomy for scapular tumors.

Methods: A clinical data of 17 patients with scapular tumors treated with total scapulectomy and total scapular arthroplasty between January 2010 and December 2017 were retrospectively reviewed. There were 9 males and 8 females with an average age of 34. Read More

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http://dx.doi.org/10.7507/1002-1892.201907016DOI Listing
February 2020

Intentional Overscrewing of Humeral Head in Comminuted Fracture of Proximal Humerus and its Impact on Shoulder Function . A Case Study.

Ortop Traumatol Rehabil 2019 Aug;21(4):297-305

Klinika Ortopedii i Traumatologii Narządu Ruchu Warszawskiego Uniwersytetu Medycznego, Warszawa / Department of Orthopedics and Traumatology of the Musculoskeletal System, Medical University of Warsaw, Poland.

An 86-year-old female was operated on due to a comminuted fracture of the right proximal humerus whose configu-ration necessitated over-screwing of the humeral head to improve stability, with the screws directed divergently: anteriorly and poste-riorly, to minimize their conflict with the acetabulum. 3.5 years later she sustained a corresponding fracture of the left shoulder which was stabilized without over-screwing. Read More

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http://dx.doi.org/10.5604/01.3001.0013.5075DOI Listing

Outcomes following extra-articular fractures of the scapula: A systematic review.

Injury 2020 Mar 27;51(3):602-610. Epub 2020 Jan 27.

Department of Orthopaedic Surgery, Northwestern Feinberg School of Medicine, 676 N. Saint Clair, Suite 1350, Chicago, IL 60611, United States.

Background: Scapular neck and body fractures are typically treated nonoperatively, with operative treatment traditionally focused on intraarticular fractures or double disruptions of the shoulder suspensory complex. The objective of this study was to systematically examine and compile the existing literature in regard to operative and conservative treatment of extraarticular fractures of the scapula.

Methods: A comprehensive search of multiple electronic databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement to find outcome data on fractures of the scapular neck and body. Read More

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http://dx.doi.org/10.1016/j.injury.2020.01.036DOI Listing

[Internal fixation of lateral and medial borders for displaced scapular body fractures via minimally invasive approach:results of 23 cases].

Zhejiang Da Xue Xue Bao Yi Xue Ban 2019 Dec;48(6):651-656

Third Department of Orthopedics, Gansu Provincial Hospital, Lanzhou 730000, China.

Objective: To evaluate the efficacy of internal fixation of lateral and medial borders for displaced scapular body fractures via the minimally invasive approach.

Methods: The internal fixation of lateral and medial borders via minimally invasive approach was applied in surgical treatment of 23 patients with scapular body comminuted fractures from January 2014 to June 2018. The lateral approach was made straightly orienting over the lateral border of scapula. Read More

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December 2019

High tuberosity healing rate associated with better functional outcome following primary reverse shoulder arthroplasty for proximal humeral fractures with a 135° prosthesis.

BMC Musculoskelet Disord 2020 Jan 16;21(1):35. Epub 2020 Jan 16.

Department of Traumatology and Hand Surgery, St. Vincentius Clinic, Karlsruhe, Academic Teaching Hospital Albert-Ludwigs-University Freiburg, Suedendstraße 32, D-76137, Karlsruhe, Germany.

Background: Reverse shoulder arthroplasty (RSA) is a common treatment for proximal humeral fractures. (PHF) in the elderly. This study evaluates the functional outcome and the influence of. Read More

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http://dx.doi.org/10.1186/s12891-020-3060-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966803PMC
January 2020

Post-traumatic bilateral scapular and thoracic vertebral body fractures - a case report.

Pol Merkur Lekarski 2019 Dec;47(282):229-231

Medical Faculty of Łazarski University, Warsaw, Poland.

The simultaneous fracture of both scapulae with coexisting fracture of the thoracic vertebral body is observed extremely rarely and is fully dependent on the mechanism that caused them.

A Case Report: The 59-year-old patient was admitted to the trauma and orthopedic department because of back pain and the inability to move independently. A few hours earlier he suffered bludgeoning trauma from a thick branch falling from a tree. Read More

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December 2019

Open Reduction and Internal Fixation of Extraarticular Scapular Neck and Body Fractures With Good Short Term Functional Outcome.

Front Surg 2019 17;6:71. Epub 2019 Dec 17.

Department of Orthopaedics, Hospital Tuanku Ja'afar, Seremban, Malaysia.

The study aims to evaluate the short-term functional outcome of open reduction and internal fixation of extraarticular scapular neck and body fractures treated at our center over a period of 2-year duration at a tertiary referral center. Between October 2015 and October 2017, we operated on 20 extraarticular scapular neck and body fracture. Ten were available for a one-off assessment. Read More

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http://dx.doi.org/10.3389/fsurg.2019.00071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928001PMC
December 2019

The Personalized Shoulder Reconstruction Assisted by 3D Printing Technology After Resection of the Proximal Humerus Tumours.

Cancer Manag Res 2019 23;11:10665-10673. Epub 2019 Dec 23.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, People's Republic of China.

Background: The reverse shoulder arthroplasty (RSA) may be a promising alternative for proximal humerus tumours because of good postoperative shoulder function. However, the conventional reverse shoulder prosthesis can not meet individual needs and RSA has been associated with a relatively high complication rate. Therefore, implant design and surgical reconstruction technique warrant further study. Read More

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http://dx.doi.org/10.2147/CMAR.S232051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6934118PMC
December 2019

Rhomboid Intercostal Catheters for Postoperative Pain After Scapular Fracture Surgery.

Pain Med 2020 Jan 7. Epub 2020 Jan 7.

nesthesia Intensive Care and Chronic Pain Treatment, University Hospital Virgen de la Arrixaca, Murcia, Spain.

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http://dx.doi.org/10.1093/pm/pnz334DOI Listing
January 2020

Latissimus muscle sparing approach to subscapular rib fracture plating.

Trauma Case Rep 2019 Dec 4;24:100247. Epub 2019 Nov 4.

Department of Cardiothoracic Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.

Surgical stabilization of fractured ribs has been shown to improve trauma related outcomes, however the procedure itself can be a source of morbidity. This report details two cases of latissimus dorsi muscle sparing sub-scapular multi-rib fracture plating. We combined several techniques to make this possible. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6911933PMC
December 2019

Onlay versus Inlay humeral steam in Reverse Shoulder Arthroplasty (RSA): clinical and biomechanical study.

Acta Biomed 2019 12 5;90(12-S):54-63. Epub 2019 Dec 5.

Clinic of Orthopaedics, University Hospital of Udine, Italy.

Background And Aim Of The Work: Reverse shoulder arthroplasty (RSA) is becoming treatment of choice in glenohumeral arthropathies with massive lesion of the rotator cuff, due to a gradual extension of indications and new designs that provide better outcome. In this study we compared two different reverse shoulder prosthesis designs, defined as Inlay (or typical Grammont type) and a relatively new model defined as Onlay (that preserves tuberosity bone stock). We analyzed clinical, biomechanical and radiological outcomes, as well as complications of RSA in these two groups. Read More

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http://dx.doi.org/10.23750/abm.v90i12-S.8983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233693PMC
December 2019

Clinical outcomes following conservative and surgical management of floating shoulder injuries: a systematic review.

J Shoulder Elbow Surg 2020 Mar 4;29(3):634-642. Epub 2019 Dec 4.

Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address:

Background: Floating shoulder is an uncommon injury characterized by fractures of the clavicle and ipsilateral scapular neck. No consensus exists on management. The purpose of this study was to analyze the existing literature on treatment and clinical outcomes of floating shoulder injuries to provide a baseline understanding of current treatment strategies of this injury. Read More

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http://dx.doi.org/10.1016/j.jse.2019.09.029DOI Listing

Is Acromial Fracture after Reverse Total Shoulder Arthroplasty a Negligible Complication?: A Systematic Review.

Clin Orthop Surg 2019 Dec 12;11(4):427-435. Epub 2019 Nov 12.

Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Background: The purpose of this study was to investigate the incidence of acromial fracture after reverse total shoulder arthroplasty (RTSA) and clinical and radiological outcomes of treatment of the fracture.

Methods: A systematic review was performed to identify studies that reported the results of treatment of acromial fractures after RTSA. A literature search was conducted by two investigators using four databases (PubMed, Embase, Cochrane, and Ovid Medline). Read More

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http://dx.doi.org/10.4055/cios.2019.11.4.427DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6867909PMC
December 2019

Reverse Total Shoulder Arthroplasty: Biomechanics and Indications.

Curr Rev Musculoskelet Med 2019 Dec;12(4):542-553

Department of Orthopaedic Surgery, University of California, San Francisco, 1500 Owens Street, San Francisco, CA, 94158, USA.

Purpose Of Review: Over the past decade, our understanding of the biomechanics of the reverse total shoulder arthroplasty (RTSA) has advanced, resulting in design adjustments, improved outcomes, and expanding indications. The purpose of this review is to summarize recent literature regarding the biomechanics of RTSA and the evolving indications for its use.

Recent Findings: While Grammont's principles of RTSA biomechanics remain pillars of contemporary designs, a number of modifications have been proposed and trialed in later generations to address complications such as impingement and glenoid failure. Read More

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http://dx.doi.org/10.1007/s12178-019-09586-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942071PMC
December 2019

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review.

J Clin Med 2019 11 23;8(12). Epub 2019 Nov 23.

Agency for Health Quality and Assessment of Catalonia (AQuAS), 08005 Barcelona, Spain.

The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. Read More

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http://dx.doi.org/10.3390/jcm8122063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947222PMC
November 2019

The Anatomical Variation of the Scapular Spine in A Chinese Population.

Med Sci Monit 2019 Nov 23;25:8863-8872. Epub 2019 Nov 23.

School of Clinical Medicine, Southwest Medical University, Luzhou, Sichuan, China (mainland).

BACKGROUND The occurrence of fractures and risks following reverse total shoulder arthroplasty (rTSA) is common due to the variation of scapular spine (SS). Therefore, the consideration of the variable osteological features of SS prior to surgery may prove to be significant for the implementation of rTSA. This study aimed to propose a classification of SS through particular and quantitative parameters. Read More

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http://dx.doi.org/10.12659/MSM.917870DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884942PMC
November 2019

A Rare Spinal Injury: Gunshot Wound to The Odontoid Process.

Spine (Phila Pa 1976) 2019 Nov;44(22):E1342-E1347

Department of Orthopaedic and Traumatology, Istanbul University Faculty of Medicine, Istanbul, Turkey.

Study Design: Case report.

Objective: We present a 18-year-old male patient with gunshot injury through right scapular region with the bullet ending up and causing a fracture in the odontoid process.

Summary Of Background Data: Odontoid fracture owing to gunshot wound is an extremely rare injury. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003132DOI Listing
November 2019

Does ORIF of rare scapular spine fractures sustained after reverse shoulder arthroplasty benefit elderly patients? A case-series appraisal.

Orthop Traumatol Surg Res 2019 12 25;105(8):1521-1528. Epub 2019 Oct 25.

Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland.

Purpose: Scapular spine fractures sustained after reverse shoulder arthroplasty (RSA) are debilitating for elderly patients with osteoporosis. We examined the 1-year postoperative outcomes of open reduction and internal fixation (ORIF) in a small case-series, and hypothesised that patients undergoing surgical treatment for post-RSA scapular spine fractures would improve in function and pain.

Methods: Five consecutive RSA patients within our shoulder arthroplasty register who sustained a scapular spine fracture underwent ORIF using a double plating technique. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.07.023DOI Listing
December 2019

Free-Floating Scapular Spine: A Rare Shoulder Injury.

Case Rep Orthop 2019 30;2019:1839375. Epub 2019 Sep 30.

Department of Orthopaedics, UT Health San Antonio, San Antonio, TX 78229, USA.

A specific treatment protocol for managing scapular spine fractures does not currently exist. The purpose of our report is to describe this type of injury and detail our treatment management in order to better elucidate this rare pathology. We present a case of a 26-year-old female with an acute scapular spine and base fracture after a motor vehicle collision. Read More

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http://dx.doi.org/10.1155/2019/1839375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791266PMC
September 2019

Functional Outcomes and Complications Following Scapulothoracic Arthrodesis in Patients with Facioscapulohumeral Dystrophy.

J Bone Joint Surg Am 2020 Feb;102(3):237-244

Departments of Orthopaedics and Traumatology (İ.E., O.B., and M.D.) and Neurology (P.O.), Koc University School of Medicine, Istanbul, Turkey.

Background: Facioscapulohumeral dystrophy (FSHD) is an autosomal-dominant myopathy characterized by facial and shoulder girdle muscle weakness with scapular winging. Scapulothoracic arthrodesis is a successful treatment approach for patients with <90° of shoulder elevation. The purpose of the present study was to assess functional outcomes and complications following scapulothoracic arthrodesis in patients with FSHD. Read More

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http://dx.doi.org/10.2106/JBJS.19.00571DOI Listing
February 2020

Acromial stress fracture following reverse total shoulder arthroplasty: incidence and predictors.

J Shoulder Elbow Surg 2020 Apr 16;29(4):799-806. Epub 2019 Oct 16.

Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA. Electronic address:

Background: Increased use of reverse total shoulder arthroplasty (RTSA) has led to an understanding of unique complications such as acromial stress fractures (ASFs). The factors associated with ASFs are not fully known. This study investigates the incidence and predictors of ASFs following RTSA. Read More

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http://dx.doi.org/10.1016/j.jse.2019.08.004DOI Listing
April 2020
2 Reads

[Pathological hip fracture of pediatric age. Revision of the cystic angiomatosis of the bone].

Acta Ortop Mex 2019 Jan-Feb;33(1):46-49

Hospital Príncipe de Asturias de Alcalá de Henares, Madrid, España.

Introduction: Bone cystic angiomatosis is a disease with only 200 cases described, based on angiomatous nonmalignant proliferation, in bone tissue and viscera. It focuses on pelvis, long bones and scapular waist. Clinical evolution ranges from self-limiting forms to massive aggressive osteolysis (Gorham-Stout). Read More

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November 2019
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Simultaneous bilateral reverse shoulder arthroplasty for bilateral four-part fracture of the proximal humerus in an elderly patient: A case report.

Trauma Case Rep 2019 Oct 19;23:100242. Epub 2019 Aug 19.

Department of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy.

Background: Proximal humeral fracture is the third most common fracture in elderly people after fractures of proximal femur and distal radius. They typically occur after low-energy trauma in women affected by osteoporosis, bilateral involvement is rare and usually with a simple pattern of fracture. Bilateral four-part proximal humerus fractures are even less frequent, with only a few reports published previously, with all of them caused by a seizure or electrocution in patients < 65 years old. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710294PMC
October 2019
1 Read

Simultaneous removal of a locking plate and implantation of a reversed shoulder prosthesis in elderly patients suffering from fracture sequelae of the proximal humerus.

Musculoskelet Surg 2019 Aug 14. Epub 2019 Aug 14.

Orthopedic Practice Clinic (OPPK), Schuerbusch 55, 48143, Münster, Germany.

Purpose: Open reduction and internal fixation with a locking plate are performed frequently to treat fractures of the proximal humerus. Avascular necrosis and non-union or malunion are potential complications of this procedure, which lead to specific fracture sequelae. The aim of this study was to investigate the clinical and radiological results of patients treated by removal of a failed locking plate of the proximal humerus and simultaneous implantation of a reverse total shoulder prosthesis. Read More

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http://dx.doi.org/10.1007/s12306-019-00620-3DOI Listing
August 2019
3 Reads

Infraglenoid fracture of the scapular neck fact or myth?

Rozhl Chir 2019 ;98(7):273-276

In 1991, Ada and Miller described a new type of scapular neck fracture. It was a transverse fracture of the scapular body passing from the inferior border of the glenoid to the medial border of the scapular body (their type IIC). This fracture was later designated by Goss as a “fracture of neck inferior to scapula spine“. Read More

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October 2019
2 Reads

The effectiveness of adding a scapular exercise programme to physical therapy treatment in patients with distal radius fracture treated conservatively: a randomized controlled trial.

Clin Rehabil 2019 Dec 29;33(12):1931-1939. Epub 2019 Jul 29.

Universidad de Castilla-La Mancha, Centro de Estudios Sociosanitarios, Cuenca, España.

Objective: To determine the effectiveness of a scapular exercise programme in addition to a physical therapy treatment in patients with distal radius fracture.

Design: A single-blinded randomized controlled trial was conducted.

Setting: Clinical Hospital San Borja Arriaran, Santiago, Chile. Read More

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http://dx.doi.org/10.1177/0269215519866240DOI Listing
December 2019
13 Reads

Traumatic sternal injury in patients with rib fracture: A single-center experience.

Int J Crit Illn Inj Sci 2019 Apr-Jun;9(2):75-81

Department of Surgery, Trauma Surgery, Hamad General Hospital, Doha, Qatar.

Purpose: We aimed to assess the pattern and impact of sternal injury with rib fracture in a Level 1 trauma center.

Patients And Methods: We conducted a retrospective review of trauma registry data to identify patients who presented with sternal fracture between 2010 and 2017. Data were analyzed and compared in patients with and without rib fracture. Read More

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http://dx.doi.org/10.4103/IJCIIS.IJCIIS_67_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625325PMC
July 2019
22 Reads

Acromion fracture and lateral angle of the scapula spine: Case report and literature review.

Int J Surg Case Rep 2019 22;60:353-357. Epub 2019 Jun 22.

Goiás Federal University, Brazil.

Introduction: Scapular fractures are uncommon and correspond to 0.5-1% of all body fractures. The study objective was to present a rare case report of a fracture (lateral acromion and angle of the scapula spine) and review of the literature on which will greatly contribute to diagnosis and treatment. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.06.036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6614114PMC
June 2019
2 Reads

The "coracoid tunnel view": a simulation study for finding the optimal screw trajectory in coracoid base fracture fixation.

Surg Radiol Anat 2019 Nov 4;41(11):1337-1343. Epub 2019 Jul 4.

Department of Orthopaedic Trauma Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Purpose: Coracoid fractures represent approximately 3-13% of all scapular fractures. Open reduction and internal fixation can be indicated for a coracoid base fracture. This procedure is challenging due to the nature of visualization of the coracoid with fluoroscopy. Read More

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http://dx.doi.org/10.1007/s00276-019-02274-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6841653PMC
November 2019
3 Reads