Inferior glenoid fossa fractures: patho-anatomy and results of operative treatment
Jazyk angličtina Země Německo Médium print-electronic
Typ dokumentu časopisecké články
PubMed
28547248
DOI
10.1007/s00264-017-3511-5
PII: 10.1007/s00264-017-3511-5
Knihovny.cz E-zdroje
- Klíčová slova
- Glenoid fossa fractures, Inferior glenoid, Operative treatment, Scapular fractures,
- MeSH
- dospělí MeSH
- fraktury proximálního humeru diagnostické zobrazování chirurgie MeSH
- kloubní jamka lopatky diagnostické zobrazování zranění chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- počítačová rentgenová tomografie metody MeSH
- retrospektivní studie MeSH
- rozsah kloubních pohybů MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- vnitřní fixace fraktury škodlivé účinky metody MeSH
- zobrazování trojrozměrné metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
INTRODUCTION: A typical feature of inferior glenoid fractures is a distal fragment separated from the glenoid fossa. In most cases, the inferior glenoid fractures are associated with a fracture of the scapular body. However, there are no detailed studies of inferior glenoid fractures, and only brief mentions can be found in the literature in this respect. MATERIAL AND METHODS: The basic group comprised 42 patients, with the mean age of 48 years, who sustained 42 fractures of the inferior glenoid. In this group, the scapular fracture anatomy was evaluated, based on 3D CT reconstructions. A total of 29 patients operated on were followed up for 12 to 128 months after injury (average, 52 months), three patients were lost to follow up. The results of the operative treatment, including complications, were assessed radiologically and functionally. RESULTS: Fracture anatomy was described from various aspects, i.e., the size of the articular surface carried by the separated glenoid fragment, the existence of multiple articular fragments, the size of the separated glenoid fragment and the extent of injury to the scapular body. All 29 operatively treated fractures radiologically healed within three months. Full and pain-free range of motion was restored in 18 patients; in eight patients it was limited by 20 degrees and in three patients by more than 40 degrees. The mean Constant score was 82. CONCLUSION: Fractures of the inferior glenoid fossa requires CT examination, including 3D CT reconstruction with subtraction of the surrounding bones. Displaced fractures are indicated for operative treatment.
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Arch Orthop Trauma Surg. 2015 Feb;135(2):193-9 PubMed
Clin Orthop Relat Res. 1998 Feb;(347):122-30 PubMed
J Bone Joint Surg Br. 1984 Nov;66(5):725-31 PubMed
Injury. 1993 May;24(5):324-8 PubMed
J Orthop Trauma. 2008 Aug;22(7):487-93 PubMed
Int Orthop. 2016 Jan;40(1):213-22 PubMed
Int Orthop. 2016 Nov;40(11):2383-2392 PubMed
Int Orthop. 2011 May;35(5):747-53 PubMed
J Orthop Trauma. 2006 Mar;20(3):227-9 PubMed
Clin Orthop Relat Res. 1987 Jan;(214):160-4 PubMed
J Bone Joint Surg Am. 2012 Apr 4;94(7):645-53 PubMed
Injury. 2008 Mar;39(3):271-83 PubMed
J Orthop Trauma. 2006 Mar;20(3):230-3 PubMed
Acta Orthop Scand. 1995 Oct;66(5):395-7 PubMed
J Bone Joint Surg Br. 2002 Mar;84(2):173-7 PubMed
J Orthop. 2013 Nov 21;10(4):188-92 PubMed
J Bone Joint Surg Am. 1993 Apr;75(4):479-84 PubMed
J Bone Joint Surg Am. 1992 Feb;74(2):299-305 PubMed
