![]() Minimally displaced scapular spine fracture at the base of the acromion and entering the spino-glenoid notchĦ months’ conservative treatment: immobilization in a sling and analgesics – nonunion of the fracture. ![]() ![]() 4 years after the accident: asymptomaticĬase 1: Radiogram: concurrent resorption and osteogenic changes along the fracture line Case 2: 4 months after injury: complete bone union 10 years after the accident – asymptomatic Case 2: 4 months: no limitation in range of motion, no pain during resistive movement. Initial presentation after fracture Case 2: No limitation in the passive ROM, drop arm sign positiveĬase 1: 8 weeks: no limitation in range of motion, no drop arm signs, no pain. Initial presentation after fracture Case 1: Active FF 100°, ABD: 100°, ER: 45°, Loss of abduction strength Case 2: Active GHABD: 90°, ER: 30°Ĭase 1: Stiff shoulder with pain treated with analgesics Case 2: ABD: 60° ER: 0°Ĭase 2: 3-months follow-up radiograph: progressive callus formation but no sign of consolidationĬase 1: Immobilization in a sling for 1 week, then passive range of motion exercises & ADL Case 2: Patient was allowed to use the affected upper extremity, after 3 weeks: passive ROM exercises after 8 weeks: isotonic muscular strength exercises 10 months after onset of pain: circumduction exercises and ultrasound bone growth stimulation Summary of studies with scapula spine fractures in patients without reverse shoulder arthroplasty (RSA) (1) AuthorĬase 1: Physiotherapy, subacromial and intra-articular corticosteroid injection, ultrasound bone growth stimulation Case 2: Subacromial corticosteroid injections. This scenario seems to be problematic and further research is required to sharpen treatment concepts in this group.Ĭite this article: EFORT Open Rev 2021 6:788-796. In association with RSA, scapular spine fractures are mainly treated non-operatively and lead to inferior clinical and radiological results. Scapular spine fractures without RSA are mainly treated operatively with good clinical results. ![]() RSA-associated fractures (2) were mainly treated non-operatively, with moderate clinical outcome. Most patients regained full function and range of motion. The majority from group (1) underwent operative treatment with plate fixation. These patients were older compared to group (1) (47 ± 19.6 vs. Eighty-six per cent of the patients had an RSA-associated scapular spine fracture (2). In 19.8% of cases, the fracture occurred after a traumatic fall from standing height. The mean age over all patients was 62 years (range: 24 to 89 years) and 77% of the patients were female. All studies were included which gave detailed descriptions of the treatment strategy.Ī total of 21 studies with 81 patients were included for the analysis. The aim of this scoping review was to identify all available literature and report current treatment concepts.Ī scoping review was conducted by searching PubMed for relevant studies between 2000 and October 2020. To date there are only limited data on the topic. Fractures of the scapular spine are relatively rare and can occur without (1) or with (2) association to a reverse shoulder arthroplasty (RSA).
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