Scapular and Clavicular Osteotomy for Malunion

Wilkes, RA; Halawa, M.

doi:10.1097/00005373-199302000-00027

Cited by 15 publications

(3 citation statements)

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“…Fracture lines are obscured by callus, and contracted tissues around the shoulder girdle tether key fragments even after osteoclasis. 24,25 Although this is the first paper dedicated to early clinical outcomes in patients following delayed operative treatment of fractures of the scapula, others have recorded satisfactory results in mixed series. 6,7,26 Our study has limitations.…”

Section: Discussionmentioning

confidence: 99%

Delayed operative management of fractures of the scapula

Herrera

Anavian

Tarkin

et al. 2009

The Journal of Bone and Joint Surgery. British volume

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Between 1998 and 2007, 22 patients with fractures of the scapula had operative treatment more than three weeks after injury. The indications for operation included displaced intra-articular fractures, medialisation of the glenohumeral joint, angular deformity, or displaced double lesions of the superior shoulder suspensory complex. Radiological and functional outcomes were obtained for 16 of 22 patients. Disabilities of the Arm, Shoulder, Hand (DASH) and Short form-36 scores were collected for 14 patients who were operated on after March 2002. The mean delay from injury to surgery was 30 days (21 to 57). The mean follow-up was for 27 months (12 to 72). At the last review the mean DASH score was 14 (0 to 41). Of the 16 patients with follow-up, 13 returned to their previous employment and recreational activities without restrictions. No wound complications, infection or nonunion occurred. Malunion of the scapula can be prevented by surgical treatment of fractures in patients with delayed presentation. Surgery is safe, effective, and gives acceptable functional results.

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Section: Discussionmentioning

confidence: 99%

Delayed operative management of fractures of the scapula

Herrera

Anavian

Tarkin

et al. 2009

The Journal of Bone and Joint Surgery. British volume

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“…Previous reports discussed shoulder malunions accompanied by pain and dysfunction that resulted in double disruptions, called a "floating shoulder." [4][5][6] The limited forward shoulder elevation in these reports resulted from a markedly deformed scapular neck. However, patients with markedly short malunions in isolated clavicle shaft fractures can have scapular malposition.…”

Section: Discussionmentioning

confidence: 99%

Corrective Osteotomy for Ipsilateral Distal Clavicular and Coracoid Malunions

Yoshida¹

2015

Orthopedics

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Malunion after double disruption injuries of the superior shoulder suspensory complex accompanied by shoulder pain and dysfunction has been reported infrequently. A 37-year-old man had a double disruption injury (fractures of the distal clavicle and the base of the coracoid process). Conservative treatment resulted in malunion. Twelve months after the injury, pain continued in the coracoclavicular interval, and there was only 125° forward shoulder elevation. Radiographs showed 50° inferior angulation of the distal clavicle and elongated base of the coracoid process. Corrective osteotomy was required; however, the concomitant malunion of the coracoid prevented correction of the deformity with osteotomy of the distal clavicle alone. Therefore, osteotomy of the coracoid was performed. Twelve months postoperatively, successful bone union resulted in loss of pain. Forward elevation had recovered to 160°. Distal clavicular fractures with concomitant coracoid fractures are often significantly displaced, which disrupts physiologic coupling of clavicular and scapular motion and limits forward elevation. In the case of such malunions, excessive movement at the clavicle-scapula junction during mobilization causes pain in the coracoclavicular interval. Correction of this deformity requires osteotomy of both the clavicular and coracoid malunions.

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“…All cases resulted from the failure of conservative management of scapular fractures. Twenty-two cases 1 , 3 , 5 , 8 , 11 , 12 , 13 , 14 , 18 , 21 , 23 , 25 , 26 , 27 , 28 , 29 , 35 involved extra-articular scapular nonunions, and most patients underwent open reduction and internal fixation (ORIF) using a Judet approach. However, only one case 19 involved intra-articular scapular nonunion, and ORIF was performed through a deltopectoral approach.…”

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confidence: 99%

Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

Matsuo

Yoshikawa

Oki

et al. 2022

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Scapular and Clavicular Osteotomy for Malunion

Cited by 15 publications

References 0 publications

Delayed operative management of fractures of the scapula

Delayed operative management of fractures of the scapula

Corrective Osteotomy for Ipsilateral Distal Clavicular and Coracoid Malunions

Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

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