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Acta Biomed 2018 Nov 15;90(1-S):150-153. Epub 2018 Nov 15.

U.O. Ortopedia e Traumatologia, Ospedale M. Bufalini, Cesena (FC).

Background and aim of the work The term "floating shoulder" was used in a previous paper to describe lesions of at least two components of the SSSC (superior shoulder suspensory complex), a bony-ligamentous structure of the shoulder girdle. Following this article other types of floating shoulder were described, including scapulothoracic dissociation (STD), a rare lesion with potentially devastating consequences, with detachment of the scapular body from the thoracic wall, with following lateralization of the scapula,  fracture of the clavicle or injury of the adiacent sterno-clavear or acromion-clavicular joints. Prognosis and outcome are also negatively influenced by secondary vascular and neurologic injuries. Read More

Bone Joint J 2019 Feb;101-B(2):147-153

Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, New York, USA.

Aims: The aim of this study was to investigate the effects of preoperative bisphosphonate treatment on the intra- and postoperative outcomes of arthroplasty of the shoulder. The hypothesis was that previous bisphosphonate treatment would adversely affect both intra- and postoperative outcomes.

Patients And Methods: A retrospective cohort study was conducted involving patients undergoing arthroplasty of the shoulder, at a single institution. Read More

EFORT Open Rev 2018 Dec 20;3(12):632-640. Epub 2018 Dec 20.

Università degli Studi di Roma La Sapienza, Dipartimento di Medicina Sperimentale, Trauma and Orthopaedics, Rome, Italy.

Shoulder stability depends on several factors, either anatomical or functional. Anatomical factors can be further subclassified under soft tissue (shoulder capsule, glenoid rim, glenohumeral ligaments etc) and bony structures (glenoid cavity and humeral head).Normal glenohumeral stability is maintained through factors mostly pertaining to the scapular side: glenoid version, depth and inclination, along with scapular dynamic positioning, can potentially cause decreased stability depending on the direction of said variables in the different planes. Read More

J Orthop Trauma 2019 Feb;33(2):e39-e45

Department of Orthopaedic Surgery, Hospital for Joint Disease, NYU Langone Medical Center, New York, NY.

Objectives: To evaluate tuberosity union rate and clinical outcome after 3- and 4-part proximal humerus fractures in the elderly.

Design: Retrospective, multicenter database cohort study.

Setting: Level I and Level II trauma centers. Read More

J Orthop Case Rep 2018 Jul-Aug;8(4):3-6

Department of Orthopaedics, Altnagelvin Area Hospital, Glenshane Road, Londonderry N Ireland. BT47 6SB.

Introduction: Scapular fractures are rare injuries and are often an indicator of high-energy trauma. These injuries are rare, and many are managed without surgery. The caveat to this is intra-articular extension into the glenoid when AO Foundation principles of fracture fixation for intra-articular injuries must be adhered to. Read More

JSES Open Access 2018 Oct 14;2(3):169-173. Epub 2018 Jul 14.

Department of Orthopedic Surgery, School of Medicine, Keio University, Shinjuku-ku, Tokyo, Japan.

Arch Orthop Trauma Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Orthopaedic Surgery and Traumatology, Cantonal Hospital Frauenfeld, Pfaffenholzstrasse 4, 8501, Frauenfeld, Switzerland.

Purpose: Traumatic acromion fractures are rare and typically occur in patients with multiple fractures, which often delays diagnosis. Limited guidance exists on the treatment of these fractures. We present a review of the literature from the last 20 years and describe our experience in treating five patients-two conservatively and three with open reduction and internal fixations (ORIF). Read More

Kathmandu Univ Med J (KUMJ) 2018 Jan.-Mar;16(61):94-96

Department of Orthopedic and Trauma Surgery, Jinzhou Medical University, Liaoning, China.

The aim of this report is to present a rare case of bilateral clavicular fracture with a unilateral scapular fracture of a young patient following high-velocity trauma without any comorbidity. Clavicle fracture is common however, simultaneously, both clavicle and scapular fracture is a rare entity. The incidence of bilateral clavicle fracture is 0. Read More

Eur J Trauma Emerg Surg 2019 Jan 9. Epub 2019 Jan 9.

Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, No.5, Fuxing St., Guishan Dist., Linkou, Taoyuan, 333, Taiwan.

Purpose: Traumatic subclavian vascular injury (TSVI) is rare but often fatal. The precise diagnosis of TSVI remains challenging mainly because of its occult nature, less typical presentations, and being overlooked in the presence of polytrauma. Compared to penetrating injuries, it is even more difficult to identify TSVI in patients who have blunt injuries and no visible bleeding. Read More

Clin Orthop Relat Res 2019 Feb;477(2):432-441

P. N. Chalmers, R. Z. Tashjian, Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA A. A. Romeo, Department of Orthopaedic Surgery, Rothman Institute, New York, NY, USA G. P. Nicholson, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA P. Boileau, Department of Orthopaedic Surgery, CHU-Nice, Nice, France J. D. Keener, Department of Orthopaedic Surgery, Washington University, St Louis, MO, USA J. M. Gregory, Department of Orthopaedic Surgery, University of Texas at Houston, Houston, TX, USA D. H. Salazar, Department of Orthopaedic Surgery, Loyola University, Chicago, IL, USA.

Background: Humeral bone loss is commonly encountered during revision shoulder arthroplasty and anticipating humeral bone defects can help the revision surgeon make appropriate plans to achieve adequate fixation and stability. No validated classification system exists to characterize humeral bone loss in the setting of revision shoulder arthroplasty.

Questions/purposes: The purposes of this study were (1) to create a classification system for humeral bone loss in revision shoulder arthroplasty; (2) to determine the classification system's reliability; and (3) to determine whether humeral bone loss type is associated with intraoperative humeral-related reconstruction characteristics. Read More

Ann Indian Acad Neurol 2018 Oct-Dec;21(4):343-344

Department of General Medicine, M.E.S. Medical College, Malappuram, Kerala, India.

J Shoulder Elbow Surg 2018 Nov 26. Epub 2018 Nov 26.

Department of Orthopaedic Surgery, Mount Sinai Health System, New York, NY, USA.

Background: Reverse total shoulder arthroplasty (RSA) accounts for nearly one-third of shoulder arthroplasty utilization nationally. The complication rate has increased concurrently. Consensus is lacking regarding the incidence, etiology, and treatment of acromial or scapular spine fractures after RSA. Read More

Clin Biomech (Bristol, Avon) 2019 Jan 22;61:64-69. Epub 2018 Nov 22.

Harold K. Dunn Orthopaedic Research Laboratory, Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA; Department of Bioengineering, University of Utah, Salt Lake City, UT, USA. Electronic address:

Background: Trauma can fracture the scapular neck. Typically, a single plate along the lateral scapula border affixes the glenoid fragment to the scapula. This method is limited by difficulty in screw placement, frequent excessive soft tissue dissection, and risk for neurovascular injury. Read More

J Orthop Sci 2018 Oct 19. Epub 2018 Oct 19.

Department of Orthopaedic Surgery, Medical School Hannover, Hannover, Germany. Electronic address:

Background: The reverse total shoulder arthroplasty (RTSA) is a common therapy for the fracture sequelae (FS) of the proximal humerus. The aim of this study was to show the short and midterm clinical outcome of the RTSA for FS and to identify prognostic factors.

Methods: Data from 46 patients with chronic FS who underwent RTSA were analysed. Read More

Musculoskelet Surg 2018 Oct 20;102(Suppl 1):57-65. Epub 2018 Oct 20.

Clinica Ortopedica, Università degli Studi di Parma, Via Gramsci 14, 43126, Parma, Italy.

Purpose: The aim of this study is to retrospectively compare clinical and radiographic outcomes of patients treated with non-lateralizing reverse shoulder arthroplasty (RSA) and with humeral lateralizing RSA after proximal humerus fracture (PHF).

Methods: In total, 32 patients (8 men and 24 women), with a mean age of 77.4 (67-92), have been reevaluated (follow-up of 14. Read More

J Orthop Surg Res 2018 Oct 16;13(1):256. Epub 2018 Oct 16.

Orthopaedic Consultant, Alfred Hospital, 55 Commercial Rd, Prahran, Melbourne, Victoria, 3004, Australia.

Background: Bony increased-offset reverse shoulder arthroplasty (BIO-RSA) may address issues such as inferior scapular notching, prosthetic instability and limited postoperative shoulder rotation; all of which have been reported with the standard RSA and attributed to the medialized design. We hypothesised that this lateralization may increase the rate of scapular stress fractures.

Methods: A retrospective review of prospectively collected data was performed on patients who had undergone a RSA between January 2013 and October 2016. Read More

J Vet Emerg Crit Care (San Antonio) 2018 Nov 9;28(6):591-595. Epub 2018 Oct 9.

Department of Diagnostic Imaging, University of Glasgow Veterinary School, Glasgow, Scotland.

Objective: To describe the nonsurgical management of a cat with traumatic pneumoperitoneum.

Case Series Summary: A 4-year-old cat was presented following vehicular polytrauma. Thoracic radiographs revealed 4 rib fractures, a scapular fracture, and pneumothorax. Read More

J Child Orthop 2018 Oct;12(5):493-496

Division of Pediatric Orthopedic Surgery, Case Western Reserve University, Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.

Purpose: Proximal humerus fractures in adults are approached with a high suspicion for potential associated glenohumeral dislocation. Axillary views of the shoulder can be painful and possibly even lead to dynamic angulation of the proximal humerus fracture. The incidence of associated glenohumeral dislocation in the paediatric population is unclear and it would be useful to determine whether children with proximal humerus fracture require specific axillary view imaging to rule out dislocation. Read More

HSS J 2018 Oct 13;14(3):328-332. Epub 2018 Aug 13.

1University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH USA.

Background: Scapular body fractures generally occur as a result of high-energy, direct trauma to the shoulder sustained in automobile accidents. While such mechanisms have been well described, little is known about scapular body fractures sustained during sporting activities.

Questions/purposes: We sought to systematically review the literature on scapular body fracture sustained during sporting activity, recording rates and mechanisms of injury, management strategies, and return-to-sport times. Read More

J Shoulder Elbow Surg 2019 Feb 18;28(2):260-267. Epub 2018 Sep 18.

Ramsay Générale de Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, Lyon, France.

Background: Scapular fractures after reverse shoulder arthroplasty (RSA) are an increasingly reported complication. Information is missing regarding midterm to long-term follow-up consequences. The aim of this study was to determine the rate of scapular fracture (acromial base and spine) after Grammont-style RSA and to report functional and radiographic results of patients with a minimum 5-year follow-up. Read More

J Orthop Traumatol 2018 Sep 5;19(1):15. Epub 2018 Sep 5.

Clinica Ortopedica, Ospedale Marino, Università degli Studi di Cagliari, Cagliari, Italy.

Background: Surgical treatment of scapular fractures with posterior approach is frequently associated with postoperative infraspinatus hypotrophy and weakness. The aim of this retrospective study is to compare infraspinatus strength and functional outcomes in patients treated with the classic Judet versus modified Judet approach for scapular fracture.

Patients And Methods: 20 cases with scapular neck and body fracture treated with posterior approach for lateral border plate fixation were reviewed. Read More

Am J Orthop (Belle Mead NJ) 2018 Aug;47(8)

Department of Orthopaedic Surgery, Case Western Reserve University, Cleveland, OH.

The injury parameters and patient characteristics that affect function after scapular fracture are poorly defined. We performed a retrospective review of 594 adult patients with a minimum 12-month follow-up after scapular fracture. Functional outcomes were prospectively assessed using the American Shoulder and Elbow Surgeons (ASES) survey in 153 patients after a mean of 62 months of follow-up. Read More

Int Orthop 2018 Sep 3. Epub 2018 Sep 3.

Department of Orthopaedic Surgery, iULS (Institut Universitaire Locomoteur & Sport), University of Nice Sophia Antipolis, Nice, France.

Purpose: Osteoarthritis may be observed after surgery for instability and in the natural history of pathology. The primary objective was to analyze the late clinical and radiographic results of reverse shoulder arthroplasties (RSA) for patients who had instability arthropathy.

Methods: This is a retrospective cohort of 25 patients with a mean follow-up of 6. Read More

J Shoulder Elbow Surg 2018 Dec 8;27(12):2183-2190. Epub 2018 Aug 8.

Ramsey Générale de Santé Hôpital Privé Jean Mermoz, Lyon, France.

Background: Scapular stress fractures after reverse shoulder arthroplasty (RSA) are a potentially serious complication with modern lateralized and onlay implants. The aim of this study was to report the scapular spine stress fracture rate after RSA with an onlay, 145° humeral stem, analyzing potential fracture risk factors and clinical outcomes in a large cohort of patients.

Methods: A consecutive series of 485 RSAs were implanted with the Aequalis Ascend Flex stem. Read More

Orthop Traumatol Surg Res 2018 Oct 27;104(6):773-777. Epub 2018 Jul 27.

Upper Limb Orthopedic Surgery University, 25000 Besançon, France.

Introduction: Reverse shoulder arthroplasty (RSA) is a key tool in the orthopedic trauma surgeon's arsenal, especially when faced with a proximal humerus fracture in older patients. However, few studies have focused on the glenoid side of RSA in this indication as the implant is placed in a generally healthy scapula.

Hypothesis: Glenoid implants for RSA after trauma are well positioned and do not often cause complications. Read More

Int J Paleopathol 2018 09 17;22:189-197. Epub 2018 Jul 17.

Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

The aim of this article was to describe the outcome of a probable case of physical abuse in the remains of a child dating from the 16-18 centuries CE. The skeleton of a subadult was recovered during archaeological excavations carried out in the village of Užubaliai, located in Alytus in southern Lithuania, and subsequently curated in the Faculty of Medicine at Vilnius University. The bones of this child were observed macroscopically and then submitted for radiological investigation. Read More

J Shoulder Elbow Surg 2018 Nov 9;27(11):2093-2098. Epub 2018 Jul 9.

Department of Orthopaedics and Traumatology, Kantonsspital St Gallen, St Gallen, Switzerland. Electronic address:

Background: Acromial stress fractures following reverse shoulder arthroplasty have been increasingly studied because of potential functional impairment caused by this complication. The purpose of this study was to evaluate and compare different plating techniques for a type III acromial fracture (also referred to as "scapular spine fracture") in a biomechanical setting with special regard to primary stability and modes of failure.

Methods: Type III acromial fractures were simulated on 19 Sawbones scapulae and plated with either a lateral clavicular plate (LatCP), a locking compression plate (LCP), or a reconstruction plate (RecoP). Read More

Case Rep Orthop 2018 10;2018:2107059. Epub 2018 Jun 10.

Department of Orthopaedic Surgery, King Saud Medical City, Riyadh, Saudi Arabia.

Open acromial fractures are a rare set of fractures. We report a case of Gustilo IIIA open acromial fracture (14A2 as per OTA scapular fracture classification) that was isolated from any other injury. Our patient had a good recovery and showed excellent clinical outcome after irrigation and screw fixation of the acromial fracture. Read More

Z Orthop Unfall 2018 08 12;156(4):443-448. Epub 2018 Jun 12.

Klinik für Unfall-, Hand- und Orthopädische Chirurgie, Helios Dr. Horst-Schmidt-Kliniken, Wiesbaden.

Fractures of the scapula are rare and have an incidence of 1% of all fractures. Publications highlight glenoid rim fractures. Classification by Ideberg and Euler and Rüdi are accepted. Read More

J Surg Oncol 2018 Jul 7;118(1):177-183. Epub 2018 Jun 7.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: Surgical reconstruction after total scapulectomy presents a great challenge. Currently, the constrained scapular prosthesis reconstruction is considered as the most effective and promising method. However, the mid- to long-term functional outcomes and complications of this procedure are unclear. Read More

Bone Joint J 2018 06;100-B(6):761-766

Orthopedic Practice Clinic (OPPK), Münster, Germany.

Aims: The reasons for failure of a hemirthroplasty (HA) when used to treat a proximal humeral fracture include displaced or necrotic tuberosities, insufficient metaphyseal bone-stock, and rotator cuff tears. Reverse total shoulder arthroplasty (rTSA) is often the only remaining form of treatment in these patients. The aim of this study was to evaluate the clinical outcome after conversions from a failed HA to rTSA. Read More

J Int Med Res 2018 Jul 29;46(7):2731-2742. Epub 2018 May 29.

7 Department of Orthopaedics, Jinshan Hospital, Fudan University, Shanghai City, China.

Objective To compare surgical complications and functional outcomes of the ring plate versus the non-ring plate approach to the surgical repair of scapular body fractures (SBFs; AO/OTA classification: 14-A2.2). Methods This retrospective study reviewed data from adults with SBFs who underwent a modified Judet approach combined with non-ring or ring plates between November 2006 and June 2013. Read More

J Trauma Acute Care Surg 2018 Nov;85(5):932-935

From the Pediatric Trauma Center, Cohen Children's Medical Center, the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York (I.A.e., J.M.P., N.G.R.); Feinstein Institute for Medical Research, Manhasset, New York (I.A.e., L.M.R., J.M.P., N.G.R.); Maimonides Medical Center, Brooklyn New York (I.A.e.); and Oklahoma University Health Science Center, Oklahoma City, Oklahoma (R.W.L.).

Background: Patients with stable blunt great vessel injury (GVI) can have poor outcomes if the injury is not identified early. With current pediatric trauma radiation reduction efforts, these injuries may be missed. As a known association between scapular fracture and GVI exists in adult blunt trauma patients, we examined whether that same association existed in pediatric blunt trauma patients. Read More

J Bone Joint Surg Am 2018 May;100(10):871-878

Department of Orthopaedic Surgery, University of Minnesota, Regions Hospital, St. Paul, Minnesota.

Background: The purpose of this study was to assess the 5 to 10-year clinical and patient-reported functional outcomes after open reduction and internal fixation (ORIF) of intra-articular and extra-articular scapular fractures.

Methods: We conducted a retrospective review of prospectively collected data on 106 patients who underwent ORIF of a scapular fracture at a single level-I trauma center between January 2005 and December 2010. Eight patients were excluded from the study because they had either severe neurologic injury or an isolated process fracture, and 66 patients (37 with an isolated extra-articular fracture and 29 with an intra-articular fracture) participated in the 5 to 10-year follow-up, yielding a follow-up rate of 67%. Read More

Microsurgery 2019 Feb 7;39(2):182-187. Epub 2018 May 7.

Division of Plastic and Reconstructive Surgery, Mayo Clinic Hospital, Phoenix, Arizona.

Early soft-tissue coverage is critical for treating traumatic open lower-extremity wounds. As free-flap reconstruction evolves, injuries once thought to be nonreconstructable are being salvaged. Free-tissue transfer is imperative when there is extensive dead space or exposure of vital structures such as bone, tendon, nerves, or blood vessels. Read More

EFORT Open Rev 2018 Feb 28;3(2):58-69. Epub 2018 Feb 28.

Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, USA.

Since the introduction of reverse total shoulder arthroplasty (RTSA) in 1987 (in Europe) and 2004 (in the United States), the number of RTSAs performed annually has increased.Although the main indication for RTSA has been rotator cuff tears, indications have expanded to include several shoulder conditions, many of which involve dysfunction of the rotator cuff.RTSA complications have been reported to affect 19% to 68% of patients and include acromial fracture, haematoma, infection, instability, mechanical baseplate failure, neurological injury, periprosthetic fracture and scapular notching. Read More

Unfallchirurg 2018 Dec;121(12):968-975

Klinik für Unfallchirurgie, Otto-von-Guericke Universität Magdeburg, Leipziger Str. 44, Magdeburg, Deutschland.

Introduction: Simultaneous fracture of the acromion and coracoid process represents a double disruption of the superior shoulder suspensory complex (SSSC). To date, the two largest reported series have comprised five and eight cases. The aim of this study was to investigate the functional outcome in patients who sustained this rare injury and to provide a review of the relevant literature. Read More

J Orthop Surg (Hong Kong) 2018 Jan-Apr;26(1):2309499018760132

1 Department of Orthopaedic Surgery and Traumatology, Parc de Salut Mar - Hospital del Mar & Hospital de l'Esperança, Universitat Autonoma de Barcelona (UAB), Barcelona, Spain.

Purpose: To investigate the influence of greater tuberosity healing on the functional outcomes of reverse shoulder arthroplasty (RSA) for the treatment of acute complex proximal humeral fractures (PHFs), and to investigate the influence of patient- and surgery-related factors in the healing of the greater tuberosity.

Methods: Retrospective study including 41 consecutive PHFs treated using RSA with minimum 2-year follow-up. In all the cases, tuberosities were reattached with a standardized technique. Read More

Eur J Orthop Surg Traumatol 2018 May 20;28(4):585-591. Epub 2018 Feb 20.

Lindenhofspital, 3012, Bern, Switzerland.

Background: Operative management of scapular body fractures, when indicated, typically involves extensive exposure through a posterior approach. We present our experience with a deltoid preserving approach that allows excellent exposure of the fracture lines for reduction and fixation while minimizing muscle detachment and overall tissue trauma.

Technique: Exposure of the scapula was obtained through a posterior incision. Read More

Zhongguo Gu Shang 2017 Oct;30(10):952-956

Department of Orthopaedics, the First People's Hospital of Kunming, Kunming 650011, Yunnan, China;

Objective: To investigate the clinical results of scapula fractures with lateral incision combined with bridge internal fixation system.

Methods: From October 2012 to December 2016, 20 cases of scapular fractures were treated through the lateral incision combined with bridge fixation system, including 15 males and 5 females, with an average age of 31.6 years old(ranged, 21 to 52 years old). Read More

Rozhl Chir 2018 ;97(2):77-81

Introduction: The aim of this study is to describe the anatomy of fractures of the inferior angle and the adjacent part of the scapular body, based on 3D CT reconstructions.

Method: In a series of 375 scapular fractures, we identified a total of 20 fractures of the inferior angle of the scapular body (13 men, 7 women), with a mean patient age of 50 years (range 3373). In all fractures, 3D CT reconstructions were obtained, allowing an objective evaluation of the fracture pattern with a focus on the size and shape of the inferior angle fragment, propagation of the fracture line to the lateral and medial borders of the infraspinous part of the scapular body, fragment displacement and any additional fracture of the ipsilateral scapula and the shoulder girdle. Read More

Rozhl Chir 2018 ;97(2):67-76

Introduction: The aim of this study is to present, on the basis of 3D CT reconstructions of 187 of scapular body fractures, a clinically oriented classification respecting the biomechanical architecture of the scapula.

Methods: In a series of 375 scapula fractures we identified 187 body fractures in187 patients (157 men, 30 women) with the mean age of 48 years (range; 16100 years). 3D CT reconstructions were obtainedof all fractures, to allow an objective evaluation of the fracture pattern. Read More

Arch Orthop Trauma Surg 2018 May 9;138(5):669-673. Epub 2018 Feb 9.

Department of Orthopaedic Surgery, National University of Singapore, National University Health System, NUHS Tower Block, Level 11, 1E Kent Ridge Road, Singapore, 119228, Singapore.

Fractures of the scapular body that extend to involve the neck and glenoid articular surface with a large gap pose a significant problem for surgical exposure. Several surgical approaches for scapula fixation have been described, but all give limited exposure to the entire scapular body, neck and articular surface. Here, we describe our 'Reverse Judet' technique, with cadaveric dissections and discuss a clinical case. Read More

Acta Orthop Belg 2017 Mar;83(1):16-21

Scapular fractures are rare injuries and usually occur due to high energy trauma. Displaced Intra articular fractures usually require operative treatment and yields better outcomes as compared to conservative management. To assess the functional and radiological outcomes of displaced intra-articular scapular fractures managed with open reduction and internal fixation. Read More

Acta Orthop Belg 2017 Mar;83(1):8-15

The aim of the study has been to acquire basic epidemiological data based on a representative group of patients with scapular fractures treated in one centre. The study analyses group of 250 patients. Diagnostics was based on CT examinations, in 227 cases with 3D reconstructions, in 97 cases compared with operative findings. Read More

Acad Emerg Med 2018 Jul 25;25(7):738-743. Epub 2018 May 25.

Department of Emergency Medicine, The University of California San Francisco, San Francisco, CA.

Background: Scapular fractures have been traditionally taught to be associated with significant injuries and major morbidity. As we demonstrated with sternal fracture, pulmonary contusion, and rib fracture, increased chest computed tomography (CT) utilization and head-to-pelvis CT (pan-scan) protocols in blunt trauma evaluation, however, may diagnose minor, clinically irrelevant scapular fractures, possibly rendering previous teachings obsolete.

Objectives: The objectives were to determine the 1) percentages of scapular fractures seen on chest CT only (SOCTO) versus seen on both chest x-ray (CXR) and CT and of isolated scapular fracture (scapular fracture without other thoracic injuries); 2) frequencies of associated thoracic injury with scapular fracture; and 3) proportion of patients admitted, mortality, hospital length of stay, and injury severity scores (ISS), comparing four patient groups: scapular fracture, nonscapular fracture, scapular fracture SOCTO, and isolated scapular fracture. Read More

Orthopade 2018 Feb;47(2):148-157

Klinik für Unfall- und Handchirurgie, ViDia Christliche Kliniken Karlsruhe, St. Vincentius-Kliniken, Südendstr. 32, 76135, Karlsruhe, Deutschland.

In recent years, the understanding of shoulder fractures has changed due to the progress of arthroscopy. In addition to the cosmetic result, the access morbidity, particularly the integrity of the subscapularis muscle in glenoid and scapular fractures, must be mentioned as an advantage of a minimally invasive approach. Furthermore, necessary secondary interventions, e. Read More

J Craniofac Surg 2018 May;29(3):e248-e250

Department of Special Care in Dentistry, Pharmacological Research in Dentistry, Faculty of Dentistry, University of Granada, Granada, Spain.

Background: Reconstruction of an oromandibular defect presents a considerable surgical challenge. But since the advent of microvascularized free flap reconstructive surgery, outcomes have improved significantly so that today almost any defect may be reconstructed. Recently, virtual surgical planning has reduced surgical time, the morbidity associated with surgery, and surgical precision. Read More

J Shoulder Elbow Surg 2018 Apr 28;27(4):701-710. Epub 2017 Dec 28.

Shoulder and Elbow Unit, "D. Cervesi" Hospital, Cattolica-AUSL della Romagna, Ambito Rimini, Italy.

Background: There are few investigations comparing lateralized and medialized reverse total shoulder arthroplasty (RTSA) in patients with cuff tear arthropathy. This study assessed the outcomes of 2 RTSA designs.

Methods: Sixty-eight consecutive cuff tear arthropathy patients (74 shoulders) with a follow-up of at least 24 months received a Grammont or an onlay curved short-stem humeral component, with or without glenoid lateralization; a cementless humeral stem was implanted in >90%. Read More