| 摘 要： | Objective To explore the early diagnosis and surgical treatment of scapular fractures. Methods Sixteen cases with scapular fractures received operation that had been admitted to our hospital from January 1996 to January 2001 were retrospectively analyzed. AP Views of X-ray, two-dimensional CT scannings and three-dimensional CT reconstructions were used to confirm the injuries. According to Hardegger' s classification for scapular fractures, There were 9 fractures of the scapular body,7 fractures of the scapular neck, 2 fractures of the glenoid rim, 1 fracture of the glenoid fossa,5 fractures of the scapular spine, 3 fractures of the acromion and 2 fractures of the coracoid process. Of the 16 patients, 11 (68.8%) cases had complex fractures of the scapula,and 14 cases(87.5%) had associated injuries. On the basis of the fracture patterns, anterior, posterior, posterosuperior approach, and anterior combined posterior approach were performed with plates or ( and) lag screws for surgical reconstruction. Resu
|
