Can displaced extra-articular fractures of the scapula be stabilized through a direct lateral-column approach

Mannambeth, Rejith V; Kirzner, Nathan; Moaveni, Afshin Kamali

doi:10.1016/j.jcot.2020.05.017

Cited by 3 publications

(8 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The study by Mannambeth et al (8) stated that radiographically, their research revealed that the mean scapular neck angulation might be corrected with a considerable improvement (P<0.001), However, post-operatively, there was no discernible change in the glenopolar angle.…”

Section: Discussionmentioning

confidence: 96%

“…Operative time\min Jaikish et al (6) Traffic accident (n.8), fall (n.2) 72 ND Vidovic et al (7) Traffic accident (n.8), fall (n.6) ND ND Mannambeth et al (8) Traffic accident (n8), fall (n.3) ND ND Mohd Asihin et al (6) Traffic accident (n.10) ND ND Hu et al (9) Traffic accident (n.8), fall (n.6), bruising (n.2) 8.1 103 Tatro et al (1) Traffic accident (n.34), fall (n.7), other (n.2) 336 188 Fandridis et al (10) Traffic accident (n.5), fall (n.1) 216 ND Yuan et al (11) Traffic accident (n.68), fall (n.4) 48 ND Porcellini et al (12) Traffic accident (n.5), fall (n.1) ND ND Ao et al (13) Traffic accident (n.15), fall (n.4), direct hit (n.3) ND 80 Schroder et al (2) Traffic accident (n.58), fall (n.3) 11 ND Lin et al (14) Traffic accident (n9), fall (n.4) 5 ND Jones et al (15) Traffic accident (n.22), fall (n.7), sports (n.1), others (n.2)…”

Section: Duration From Injury To Operation\hunclassified

“…Angulations and GPA pre and post operation. Author Angulation pre Angulation post GPA pre GPA post Jaikish et al (6) ND ND ND ND Vidovic et al (7) ND ND ND ND Mannambeth et al (8) 35.8 3.5 34.6 35.8 Mohd Asihin et al (6) ND ND ND ND Hu et al (9) ND ND ND ND Tatro et al (1) ND ND ND ND Fandridis et al (10) 11.3 ND 26.6 38.1 Yuan et al (11) ND ND ND ND Porcellini et al (12) ND ND ND ND Ao et al (13) ND ND ND ND Schroder et al (2) 34.4 ND ND ND Lin et al (14) ND ND 15.08 35.5 Jones et al (15) 27.8 ND ND ND Cole et al (16) 12.4 0 25 37 Bartoníček et al (5) ND ND ND ND (6) 12 0 ND Vidovic et al (7) ND 4 ND Mannambeth et al (8) 10 0 ND Mohd Asihin et al (6) 8 0 ND Hu et al (9) ND 2 ND Tatro et al (1) 34 8 ND Fandridis et al (10) ND 5 ND Yuan et al (11) ND 12 12.3 Porcellini et al (12) ND 1 ND Ao et al (13) ND 7 ND Schroder et al (2) 36 0 ND Lin et al (14) ND 0 10 Jones et al (15) 31 1 ND Cole et al (16) 4 0 ND Bartoníček et al (5) ND 2 ND Table 6 showed that complications were founded in all included studies in form of Pain in 10 cases, infraspinatus muscle hypotrophy in 4 cases, implant removal in 6 cases, hematoma in 2 cases, Heterotopic ossification in 1 case, Infection in 2 cases, Delayed union in 1 case, shoulder manipulation under anesthesia in 8 cases, screw removal due to possible intra-articular involvement in 1 case, Traumatic arthritis in 1 cases, Vascular nerve injury in 4 cases, scapular refracture in 1 case, removal of exostoses in 1 caseplate-related prominence and total removal in 7 cases, atrophy of the infraspinatus muscle in 1 case, insufficient reduction of the inferior angle in 1 case.…”

Section: Table (3)mentioning

confidence: 99%

“…Heterotopic ossification Infection Jaikish et al (6) ND ND ND ND ND ND Vidovic et al (7) ND 4 ND ND ND ND Mannambeth et al (8) ND ND ND ND ND ND…”

Section: Hematomamentioning

confidence: 99%

See 3 more Smart Citations

Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Abdelsalam¹,

Elhewala²,

Elgendy³

et al. 2023

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Background: Scapular fractures are a rare upper extremity injury brought on mostly by high-energy trauma. The bulk of these fractures are extra-articular. Un-displaced fractures can be successfully treated with conservative measures. However, displaced fractures do not produce excellent outcomes and require surgical intervention. Objective: The aim of the current study was to perform a review of literatures and meta-analysis on the function results of treating extra-articular scapular fractures.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Duration From Injury To Operation\hunclassified

Section: Table (3)mentioning

confidence: 99%

“…Heterotopic ossification Infection Jaikish et al (6) ND ND ND ND ND ND Vidovic et al (7) ND 4 ND ND ND ND Mannambeth et al (8) ND ND ND ND ND ND…”

Section: Hematomamentioning

confidence: 99%

See 2 more Smart Citations

Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Abdelsalam¹,

Elhewala²,

Elgendy³

et al. 2023

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

show abstract

“…Currently, many surgical implant schemes can be used to treat SNFs, including reconstruction plates (RPs), straight locking plates, distal radius T-plates, and Y-locking plates [ 4 , 8 – 10 ]. RPs are the most commonly used as they provide relatively reliable internal fixation and general functional results [ 3 , 9 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Finite element analysis of a novel anatomical locking plate for scapular neck fracture

et al. 2023

View full text Add to dashboard Cite

Objectives Reconstruction plates (RPs) are commonly used in scapular neck fractures (SNFs): however, RPs have many defects. In this study, we evaluated a newly designed scapular neck anatomical locking compression plate (SNALCP). Methods An SNF finite element model (Miller-type IIB) was constructed. Plates were subsequently implanted into the scapula and fixed with screws that were grouped according to the plate used: SNALCP (A) and RP (B). Finally, loads were applied to record and analyze performance. Results Under lateral, anteroposterior, and vertical compression loads, the maximum von Mises stresses on the scapula and implants of group A were smaller than those of group B. There were some differences in stress distribution between the two groups. Conclusions SNALCP can effectively reduce the stress of the scapula and implant, making stress distribution more uniform and continuous, and has mechanical conduction advantages. Compared to RP, it provides improved stability and more reliable fixation.

show abstract

Minimally invasive plate osteosynthesis (MIPO) for scapular fractures

van de Wall,

Hoepelman,

Michelitsch

et al. 2023

Oper Orthop Traumatol

View full text Add to dashboard Cite

Objective Presentation of a minimally invasive surgical approach for the treatment of scapular fractures and the clinical outcome using this technique. Indications Displaced extra-articular fractures of the scapula body and glenoid neck (AO 14B and 14F) and simple intra-articular fractures of the glenoid. Contraindications Complex intra-articular fractures and isolated fractures of the coracoid base. Surgical technique Make a straight or slightly curved incision along the lateral margin of the scapula leaving the deltoid fascia intact. Identify the interval between the teres minor muscle and infraspinatus to visualize the lateral column, whilst retracting the deltoid to visualize the glenoid neck. Reduce and align the fracture using direct and indirect reduction tools. A second window on the medial border of the scapula can be made to aid reduction and/or to augment stability. Small (2.0–2.7 mm) plates in a 90° configuration on the lateral border and, if required, on the medial border are used. Intra-operative imaging confirms adequate reduction and extra-articular screw placement. Postoperative management Direct postoperative free functional nonweight-bearing rehabilitation limited to 90° abduction for the first 6 weeks. Sling for comfort. Free range of motion and permissive weight-bearing after 6 weeks. Results We collected data from 35 patients treated with minimally invasive plate osteosynthesis (MIPO) between 2011 and 2021. Average age was 53 ± 15.1 years (range 21–71 years); 17 had a type B and 18 a type F fracture according the AO classification. All patients suffered concomitant injuries of which thoracic (n = 33) and upper extremity (n = 25) injuries were most common. Double plating of the lateral border (n = 30) was most commonly performed as described in the surgical technique section. One patient underwent an additional osteosynthesis 3 months after initial surgery due to pain and lack of radiological signs of healing of a fracture extension into the spine of the scapula. In the same patient, the plate on the spine of scapula was later removed due to plate irritation. In 2 patients postoperative images showed a screw protruding into the glenohumeral joint requiring revision surgery. After standardisation of intra-operative imaging following these two cases, intra-articular screw placement did not occur anymore. No patient suffered from iatrogenic nerve injury and none developed a wound infection.

show abstract

Can displaced extra-articular fractures of the scapula be stabilized through a direct lateral-column approach

Cited by 3 publications

References 21 publications

Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Finite element analysis of a novel anatomical locking plate for scapular neck fracture

Minimally invasive plate osteosynthesis (MIPO) for scapular fractures

Contact Info

Product

Resources

About