Trans-subscapularis approach for treatment of Ideberg type Ⅰa scapular glenoid fractures
10.3760/cma.j.cn115530-20211118-00527-1
- VernacularTitle:经肩胛下肌入路治疗Ideberg Ⅰa型肩胛盂骨折的疗效分析
- Author:
Xuezhao TU
1
;
Meng MI
;
Yejun ZHA
;
Qiang HUANG
;
Xieyuan JIANG
Author Information
1. 北京积水潭医院创伤骨科，北京 100035
- Keywords:
Shoulder joint;
Fracture fixation, internal;
Pain measurement;
Trans-subscapularis approach;
Scapula glenoid
- From:
Chinese Journal of Orthopaedic Trauma
2022;24(2):132-137
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the trans-subscapularis approach in the treatment of Ideberg type Ⅰa scapular glenoid fractures.Methods:A retrospective analysis was conducted in the 16 patients with Ideberg type Ⅰa scapular glenoid fracture who had been treated via the trans-subscapularis approach at Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital from December, 2012 to August 2019. X-ray follow-ups were conducted at 2 weeks, 6 to 8 weeks, 3 months and 12 months, and CT follow-ups at 6 to 8 weeks after operation. The Constant-Murley score and visual analogue scale (VAS) were used at the last follow- up to evaluate the postoperative shoulder function and pain in the patients.Results:The 16 patients were followed up for 9 to 101 months (average, 41.2 months). All fractures achieved bony union after 6 to 8 months (average, 6.8 weeks). The Constant-Murley scores at the last follow-up ranged from 85 to 100 points; the lateral internal rotation scores averaged 8.3 points (from 6 to 10 points), showing the level of the T12 spinous process could be palpated by the back of the hand; the VAS scores averaged 0. No patients reported internal fixation failure, postoperative infection or other complications.Conclusion:The trans-subscapularis approach can be used to treat Ideberg type Ⅰa scapular glenoid fractures due to its satisfactory clinical effects.
