医疗学习： scapula fracture 肩胛骨骨折.pptxVIP

肩胛骨骨折scapula fracture;;Epidemiology;Epidemiology;受伤机制;影像学检查;骨折分型;Fractures of the Scapular Body;;;Isolated Acromial Fractures;Kuhn肩峰骨折分型;; Symptomatic, nonoperative care generally leads to union and a good to excellent functional result. If unacceptable displacement is present, however, surgical reduction and stabilization must be considered.;Isolated Coracoid Fractures;;Eyres ;Type I;Type II;Type III;FIGURE 1. Cadaveric dissection demonstrating the landmarks for the incision (A) and dissection (B) through Langer’s line in the anterior approach to the coracoid.; We prefer a screw length between 30 and 45 mm with 15° medial angulation and 30– 40 ° posterior angulation to ensure that the screw remains enclosed in the bone.; With fractures occurring between the coracoclavicular and coracoacromial ligaments, the fragment is larger and symptomatic irritation of local soft tissues is more likely. Consequently, surgical management (acute or late) is more likely. With fractures of the base of the coracoid process, nonoperative care is usually suffi cient. However, in the event of symptomatic nonunion, bone grafting and compression screw fixation must be considered.; Glenoid neck fractureType I fractures include all insignificantly displaced injuries and constitute more than 90% of the total. Management is nonoperative, and a good to excellent functionalresult can be expected. Type II fractures include all significantly displaced injuries; significant displacement is defined as translational displacement of the glenoid fragment of 1 cm or more or angular displacement of the fragment of at least 40 degrees 。;Glenoid Cavity (Intra-articular) Fractures;ideberg;;;;;;;;;;;Double Disruptions of the SuperiorShoulder Suspensory Complex(SSSC);;;;;The Floating Shoulder (Ipsilateral Fractures of the Midshaft Clavicle and the Glenoid Neck);;;;;手术入路;Judet入路;