학술논문

Scapulafrakturen
Document Type
Continuing Education
Source
Die Unfallchirurgie: Organ der Deutschen Gesellschaft für Unfallchirurgie. 127(1):69-78
Subject
Klassifikation
Operative Therapie
Konservative Therapie
Glenoid
Processus coracoideus
Classification
Operative therapy
Conservative therapy
Glenoid cavity
Coracoid process
Language
German
ISSN
2731-7021
2731-703X
Abstract
Scapular fractures are rare injuries that require different treatment strategies. Nondisplaced fractures and the majority of scapular body fractures can be treated conservatively, while surgical treatment should be considered for displaced fractures involving the glenoid. Displaced glenoid fractures of appropriate size and intra-articular step formation should be treated surgically. Different classification systems for scapular fractures can support the treatment decision. Postoperative and posttraumatic management should include early mobilization to achieve a good functional outcome. Clear recommendations and treatment algorithms at the evidence level are not available and long-term outcomes of scapular fractures are the subject of further investigation. The results published so far show good to excellent results for surgical and conservative treatment, depending on the type of fracture. Individual patient factors should be considered when planning treatment.