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Erschienen in: Archives of Orthopaedic and Trauma Surgery 6/2022

04.02.2021 | Trauma Surgery

History of diagnostics and treatment of scapular fractures in children and adolescents and its clinical importance

verfasst von: Jan Bartoníček, Ondřej Naňka

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 6/2022

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Abstract

Almost 70 scapular fractures in children and adolescents, up to the age of 17 years, have been described in detail in the literature since 1839. The diagnosis of these injuries was based on autopsy, radiographs, CT and MRI examinations. The most frequent findings were fractures/epiphyseolyses of the coracoid, followed by fractures of the infraspinous part of the body and avulsion of the inferior angle of the scapular body. Less common were fractures of the acromion. Intra-articular fractures of the glenoid, or separation of an intact glenoid along the line of the anatomical or surgical necks, were reported only sporadically. Scapulothoracic dissociation was also recorded in several cases. The majority of fractures were treated non-operatively; operative treatment was used in glenoid fractures, certain fractures of the coracoid and fractures of the scapular body with intrathoracic penetration. Except for scapulothoracic dissociation, outcomes of treatment of these injuries were very good.
Literatur
1.
Zurück zum Zitat Blount WP (1955) Fractures in children. Williams and Wilkins, Baltimore Blount WP (1955) Fractures in children. Williams and Wilkins, Baltimore
2.
Zurück zum Zitat Weber BG, Brunner Ch, Freuler F (1978) Die Frakturbehandlung bei Kindern und Jugendlichen. Springer, BerlinCrossRef Weber BG, Brunner Ch, Freuler F (1978) Die Frakturbehandlung bei Kindern und Jugendlichen. Springer, BerlinCrossRef
3.
Zurück zum Zitat Ogden JA (2000) Skeletal injury in the child, 3rd edn. Springer, New York Ogden JA (2000) Skeletal injury in the child, 3rd edn. Springer, New York
4.
Zurück zum Zitat Goldstein RY, Chu A, Otsuka NY (2014) Scapular fractures in the adolescent patient: Diagnosis, management, and complications. In: Zuckerman JD (ed) Disorders of the shoulder, vol 3, 3rd edn. Wolters Kluwer-Lippincott, Williams and Wilkins, Philadelphia, pp 290–299 Goldstein RY, Chu A, Otsuka NY (2014) Scapular fractures in the adolescent patient: Diagnosis, management, and complications. In: Zuckerman JD (ed) Disorders of the shoulder, vol 3, 3rd edn. Wolters Kluwer-Lippincott, Williams and Wilkins, Philadelphia, pp 290–299
5.
Zurück zum Zitat Fabricant PD, Flynn JM (2017) Fractures, dislocations, and acquired problems of the shoulder in children. In: Rockwood CA, Matsen FA, Wirth MA, Lippit SB, Fehringer EV, Sperling JW (eds) The Shoulder, 5th edn. Elsevier, Philadelphia, pp 515–542 Fabricant PD, Flynn JM (2017) Fractures, dislocations, and acquired problems of the shoulder in children. In: Rockwood CA, Matsen FA, Wirth MA, Lippit SB, Fehringer EV, Sperling JW (eds) The Shoulder, 5th edn. Elsevier, Philadelphia, pp 515–542
9.
Zurück zum Zitat Gurtl E (1864) Handbuch der Lehre von den Knochenbrüchen. Zweiter Teil, Hamm, Grote, p 521 Gurtl E (1864) Handbuch der Lehre von den Knochenbrüchen. Zweiter Teil, Hamm, Grote, p 521
10.
Zurück zum Zitat Poland J (1887) Osteomyelitis of the scapula; separation of its coracoid epiphysis; pyemia (Card specimen). Pathol Soc Transac London 38:261–262 Poland J (1887) Osteomyelitis of the scapula; separation of its coracoid epiphysis; pyemia (Card specimen). Pathol Soc Transac London 38:261–262
12.
Zurück zum Zitat Bennett EH (1888) Separation of the coracoid epiphysis of the scapula. Dublin J Med Science 86:97–99CrossRef Bennett EH (1888) Separation of the coracoid epiphysis of the scapula. Dublin J Med Science 86:97–99CrossRef
13.
Zurück zum Zitat Lucas RC (1890) A case of fracture of the coracoid process uncomplicated with other injury with a study of the lesion. Guy’s Hosp Report 47:45–57 Lucas RC (1890) A case of fracture of the coracoid process uncomplicated with other injury with a study of the lesion. Guy’s Hosp Report 47:45–57
14.
Zurück zum Zitat Poland J (1898) Traumatic separation of the epiphyses. Smith and Elder, London, pp 144–162 Poland J (1898) Traumatic separation of the epiphyses. Smith and Elder, London, pp 144–162
15.
Zurück zum Zitat Stimson LA (1917) Fractures and dislocations. Lea & Febiger, New York, p 235 Stimson LA (1917) Fractures and dislocations. Lea & Febiger, New York, p 235
16.
Zurück zum Zitat Braine (1919) Décollement épiphysaire de l’extrémité supérieure de l’_humérus avec fractures de l’omoplate: 1° fracture de la fosse sous-épineuse; 2° fracture de la coracoide à sa base chez un enfant de 13 ans. Bull Mémoir Sociét Anat, Paris, pp 386–390 Braine (1919) Décollement épiphysaire de l’extrémité supérieure de l’_humérus avec fractures de l’omoplate: 1° fracture de la fosse sous-épineuse; 2° fracture de la coracoide à sa base chez un enfant de 13 ans. Bull Mémoir Sociét Anat, Paris, pp 386–390
19.
Zurück zum Zitat Wagner RC (1893) Fracture of both scapulae in an infant. University Med Magazine (University of Pensylvania) 6:470–471 Wagner RC (1893) Fracture of both scapulae in an infant. University Med Magazine (University of Pensylvania) 6:470–471
20.
Zurück zum Zitat Sissons WH (1860) Compound fracture of the scapula—recovery. Med Times Gazette 2:357 Sissons WH (1860) Compound fracture of the scapula—recovery. Med Times Gazette 2:357
21.
Zurück zum Zitat Rambaud A, Renault Ch (1864) Origine et développement des os. Librairie de F. Chamerot, Paris, pp 192–197 Rambaud A, Renault Ch (1864) Origine et développement des os. Librairie de F. Chamerot, Paris, pp 192–197
22.
Zurück zum Zitat Hamilton F (1871) Practical treatise on fractures and dislocations. 4th edit. Henry C Lea, Phildelphia, pp 202–212 Hamilton F (1871) Practical treatise on fractures and dislocations. 4th edit. Henry C Lea, Phildelphia, pp 202–212
23.
Zurück zum Zitat McAlister A (1897) Notes on the acromion. J Anat Phys 27:245–251 McAlister A (1897) Notes on the acromion. J Anat Phys 27:245–251
24.
Zurück zum Zitat Tanton J (1915) Fractures en général—fractures des membres—membre supérieur. JB Baillière, Paris, pp 785–819 Tanton J (1915) Fractures en général—fractures des membres—membre supérieur. JB Baillière, Paris, pp 785–819
25.
Zurück zum Zitat Coues WP (1935) Fractures of the coracoid process of the scapula. New Engl J Med 212:727–728CrossRef Coues WP (1935) Fractures of the coracoid process of the scapula. New Engl J Med 212:727–728CrossRef
26.
Zurück zum Zitat Lorthioir P (1927) Fractures du corps de l’omoplate. Archiv Franco-Belges Chir 30:888–889 Lorthioir P (1927) Fractures du corps de l’omoplate. Archiv Franco-Belges Chir 30:888–889
28.
Zurück zum Zitat Reggio AW (1938) Fracture of the shoulder girdle. In: Wilson PD (ed) Experience in the management of fractures and dislocations, based on an analysis of 4390 cases. Lippincott, Philadelphia, pp 370–374 Reggio AW (1938) Fracture of the shoulder girdle. In: Wilson PD (ed) Experience in the management of fractures and dislocations, based on an analysis of 4390 cases. Lippincott, Philadelphia, pp 370–374
29.
Zurück zum Zitat Protass JJ, Stampfii FV, Osmer JC (1975) Coracoid process fracture diagnosis in acromioclavicular separation. Radiology 116:61–64PubMedCrossRef Protass JJ, Stampfii FV, Osmer JC (1975) Coracoid process fracture diagnosis in acromioclavicular separation. Radiology 116:61–64PubMedCrossRef
30.
Zurück zum Zitat Pilling L, Steinert V, Hörmann D (1980) Skapulafrakturen in Kindeslater. Zentralbl Chir 105:1302–1304PubMed Pilling L, Steinert V, Hörmann D (1980) Skapulafrakturen in Kindeslater. Zentralbl Chir 105:1302–1304PubMed
31.
Zurück zum Zitat Ogden JA, Phillips SB (1983) Radiology of postnatal skeletal development VII. The Scapula Skeletal Radiol 9:157–169PubMedCrossRef Ogden JA, Phillips SB (1983) Radiology of postnatal skeletal development VII. The Scapula Skeletal Radiol 9:157–169PubMedCrossRef
32.
Zurück zum Zitat Starke W (1988) Isolierte Frakturen des Schulterblattes in Kindes- und Jugendalter. Aktuelle Traumatol 18:73–75PubMed Starke W (1988) Isolierte Frakturen des Schulterblattes in Kindes- und Jugendalter. Aktuelle Traumatol 18:73–75PubMed
36.
41.
Zurück zum Zitat Toro FG, Vaisman A, Villalón IE, Calvo R (2010) Fracture dislocation of the glenoid fossa with open physis: a case report. J Pediatr Othop 30:336–338CrossRef Toro FG, Vaisman A, Villalón IE, Calvo R (2010) Fracture dislocation of the glenoid fossa with open physis: a case report. J Pediatr Othop 30:336–338CrossRef
44.
Zurück zum Zitat Shannon SF, Hernandez NM, Sems SA, Larson AN, Milbrandt TA (2019) High-energy pediatric scapula fractures and their associated injuries. J Pediatr Orthop 39:377–381PubMedCrossRef Shannon SF, Hernandez NM, Sems SA, Larson AN, Milbrandt TA (2019) High-energy pediatric scapula fractures and their associated injuries. J Pediatr Orthop 39:377–381PubMedCrossRef
45.
Zurück zum Zitat Shin SJ, Wang SH, Kim JR (2016) Lung injury caused by greenstick fracture of the scapular body in a 6-year-old boy. Skeletal Radiol 45:555–558PubMedCrossRef Shin SJ, Wang SH, Kim JR (2016) Lung injury caused by greenstick fracture of the scapular body in a 6-year-old boy. Skeletal Radiol 45:555–558PubMedCrossRef
46.
Zurück zum Zitat Park HY, Jang HJ, Sur YJ (2017) Scapular body fracture and concomitant inferior angle apophyseal separation with intrathoracic displacement: a case report. J Pediatric Orthop B 26:429–432CrossRef Park HY, Jang HJ, Sur YJ (2017) Scapular body fracture and concomitant inferior angle apophyseal separation with intrathoracic displacement: a case report. J Pediatric Orthop B 26:429–432CrossRef
47.
Zurück zum Zitat Park K-J, Kim Y-M, Kim D-S, Choi E-S, Shin H-C, Jeong J-J (2015) Avulsion fracture of the acromial physis in a 14-year-old boy; a case report. Arch Orthop Trauma Surg 135:223–235PubMedCrossRef Park K-J, Kim Y-M, Kim D-S, Choi E-S, Shin H-C, Jeong J-J (2015) Avulsion fracture of the acromial physis in a 14-year-old boy; a case report. Arch Orthop Trauma Surg 135:223–235PubMedCrossRef
48.
Zurück zum Zitat Zettas JP, Muchnic PD (1976) Fractures of the coracoid process base in acute acromioclavicular separation. Orthop Rew 5:77–79 Zettas JP, Muchnic PD (1976) Fractures of the coracoid process base in acute acromioclavicular separation. Orthop Rew 5:77–79
49.
Zurück zum Zitat Montgomery SP, Loyd RD (1977) Avulsion fracture of the coracoid epiphysis with acromioclavicular separation. Report of two cases in adolescents and review of the literature. J Bone Joint Surg Am 59-A:963–965CrossRef Montgomery SP, Loyd RD (1977) Avulsion fracture of the coracoid epiphysis with acromioclavicular separation. Report of two cases in adolescents and review of the literature. J Bone Joint Surg Am 59-A:963–965CrossRef
50.
51.
Zurück zum Zitat Bernard TN, Brunet ME, Haddad RJ (1983) Fractured coracoid process in acromioclavicular dislocations. Report of four cases and review of the literature. Clin Orthop Relat Res 175:227–232CrossRef Bernard TN, Brunet ME, Haddad RJ (1983) Fractured coracoid process in acromioclavicular dislocations. Report of four cases and review of the literature. Clin Orthop Relat Res 175:227–232CrossRef
52.
Zurück zum Zitat Taga I, Yoneda M, Ono K (1986) Epiphyseal separation of the coracoid process associated with acromioclavicular sprain. A case report and review of the literature. Clin Orthop Rel Res 207:138–141CrossRef Taga I, Yoneda M, Ono K (1986) Epiphyseal separation of the coracoid process associated with acromioclavicular sprain. A case report and review of the literature. Clin Orthop Rel Res 207:138–141CrossRef
53.
Zurück zum Zitat Martin-Herrero T, Rodríguez-Merchán C, Munuera-Martínez L (1990) Fractures of the coracoid process: presentation of seven cases and review of the literature. J Trauma 30:1597–1599PubMedCrossRef Martin-Herrero T, Rodríguez-Merchán C, Munuera-Martínez L (1990) Fractures of the coracoid process: presentation of seven cases and review of the literature. J Trauma 30:1597–1599PubMedCrossRef
54.
Zurück zum Zitat Bauer G, Fleuschmann W, Dussler E (1995) Displaced scapula fractures: indication and long-term results of open reduction and internal fixation. Arch Orthop Trauma Surg 114:215–219PubMedCrossRef Bauer G, Fleuschmann W, Dussler E (1995) Displaced scapula fractures: indication and long-term results of open reduction and internal fixation. Arch Orthop Trauma Surg 114:215–219PubMedCrossRef
58.
Zurück zum Zitat DiPaola M, Marchetto P (2009) Coracoid process fracture with acromioclavicular joint separation in an American football player: a case report and literature review. Am J Orthop 38:37–40PubMed DiPaola M, Marchetto P (2009) Coracoid process fracture with acromioclavicular joint separation in an American football player: a case report and literature review. Am J Orthop 38:37–40PubMed
59.
Zurück zum Zitat Leijnen M, Steenvoorde P, Da Costa A, Adhin S (2009) Isolated apophyseal avulsion of the coracoid process: case report and review of literature. Acta Orthop Belg 75:263–264 Leijnen M, Steenvoorde P, Da Costa A, Adhin S (2009) Isolated apophyseal avulsion of the coracoid process: case report and review of literature. Acta Orthop Belg 75:263–264
61.
Zurück zum Zitat Pedersen V, Prall WC, Ockert B, Haasters F (2014) Non-operative treatment of a fracture to the coracoid process with acromioclavicular dislocation in adolescent. Orthop Rew 6:5499 Pedersen V, Prall WC, Ockert B, Haasters F (2014) Non-operative treatment of a fracture to the coracoid process with acromioclavicular dislocation in adolescent. Orthop Rew 6:5499
66.
Zurück zum Zitat Hart RA, Diamandakis V, El-Khoury G, Buckwalter JA (1995) A stress fracture of the scapular body in child. Iowa Orthop J 15:228–232PubMedPubMedCentral Hart RA, Diamandakis V, El-Khoury G, Buckwalter JA (1995) A stress fracture of the scapular body in child. Iowa Orthop J 15:228–232PubMedPubMedCentral
69.
Zurück zum Zitat Tryfonidis M, Reynolds J, Ostlere S, Matthews S (2008) Greenstick fracture of the scapular blade; an unusual case of winging of the scapula. Injury Extra 39:130–133CrossRef Tryfonidis M, Reynolds J, Ostlere S, Matthews S (2008) Greenstick fracture of the scapular blade; an unusual case of winging of the scapula. Injury Extra 39:130–133CrossRef
70.
Zurück zum Zitat Caesar BC, Qureshi AA, Hay SM (2009) Locked and angulated fracture of the scapula blade in a 15-year-old rugby player: a closed manipulation technique for reduction. Eur J Orthop Surg Traumatol 19:93–95CrossRef Caesar BC, Qureshi AA, Hay SM (2009) Locked and angulated fracture of the scapula blade in a 15-year-old rugby player: a closed manipulation technique for reduction. Eur J Orthop Surg Traumatol 19:93–95CrossRef
71.
Zurück zum Zitat Burda R, Cibur P, Kitka M (2010) Subperiostal direct scapular fracture in a child. Rozhl Chir 89:146–147PubMed Burda R, Cibur P, Kitka M (2010) Subperiostal direct scapular fracture in a child. Rozhl Chir 89:146–147PubMed
73.
Zurück zum Zitat Heyse-Moore Heyse-Moore GH, Stoker DJ (1982) Avulsion fractures of the scapula. Skeletal Radiol 9:27–32PubMedCrossRef Heyse-Moore Heyse-Moore GH, Stoker DJ (1982) Avulsion fractures of the scapula. Skeletal Radiol 9:27–32PubMedCrossRef
75.
Zurück zum Zitat Kaminsky SB, Pierce D (2002) Nonunion of a scapula body fracture in a high school football player. Am J Orthop 31:456–457PubMed Kaminsky SB, Pierce D (2002) Nonunion of a scapula body fracture in a high school football player. Am J Orthop 31:456–457PubMed
76.
Zurück zum Zitat Szopinski KT, Adamczyk G, Drwiega M (2012) Traumatic detachment of the inferior angle of the scapula in a 5-year-old boy—a sonographic diagnosis. Skeletal Radiol 41:615–618PubMedCrossRef Szopinski KT, Adamczyk G, Drwiega M (2012) Traumatic detachment of the inferior angle of the scapula in a 5-year-old boy—a sonographic diagnosis. Skeletal Radiol 41:615–618PubMedCrossRef
80.
Zurück zum Zitat Oni OOA, Hoskinson J, McPherson S (1992) Closed traumatic scapulothoracic dissociation. Injury 23:138–139PubMedCrossRef Oni OOA, Hoskinson J, McPherson S (1992) Closed traumatic scapulothoracic dissociation. Injury 23:138–139PubMedCrossRef
81.
Zurück zum Zitat Lange RH, Noel SH (1993) Traumatic lateral scapular displacement: an expanded spectrum of associated neurovascular injury. J Orthop Trauma 7:361–366PubMedCrossRef Lange RH, Noel SH (1993) Traumatic lateral scapular displacement: an expanded spectrum of associated neurovascular injury. J Orthop Trauma 7:361–366PubMedCrossRef
82.
Zurück zum Zitat Zelle BA, Pape HC, Gerich TG et al (2004) Functional outcome following scapulothoracic dissociation. J Bone Joint Surg Am 86-A:2–7CrossRef Zelle BA, Pape HC, Gerich TG et al (2004) Functional outcome following scapulothoracic dissociation. J Bone Joint Surg Am 86-A:2–7CrossRef
Metadaten
Titel
History of diagnostics and treatment of scapular fractures in children and adolescents and its clinical importance
verfasst von
Jan Bartoníček
Ondřej Naňka
Publikationsdatum
04.02.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 6/2022
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-021-03800-8

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