Fixation of a scapular body fracture in a 5 month old foal using three 4.5/5.0 mm locking compression plates

Introduction: The gleno-humeral (GH) or shoulder joint complexity of its biomechanics had been subjected for a number of study for many years. The ability of the shoulder joint to have multiple degrees of motion is contributed by the interaction between the structures surrounding the joint which maintain its stability. Methods: We report 2 cases of displaced scapular body fracture in our trauma centre fixed using anatomical scapular plate. Both underwent surgery within 3 weeks after their accident, using modified Judet approach and used implant from the same provider. All patients were followed up at 6, 12 , 18 and 72 weeks. At 6 months post operation the motion of the gleno-humeral joint were assessed. The functional status and pain score were joint also assessed using QuickDASH score and Visual Analogue Scale respectively. Results: Active shoulder range of motion, QuickDASH and VAS score are shown in Table 1. Lower QuickDASH score have better functional outcome while lower VAS score indicate lesser pain experience. [Table: see text] Discussions: Scapulo-thoracic joint also important in gleno-humeral joint motion. Scapulothoracic motion allows shoulder movement beyond initial 120o provided by the glenohumeral joint1. This coordinated movement between the scapula-thoracic and glenohumeral joint is termed as scapula-thoracic rhythm2. Displaced scapula fracture will affect the function of the scapula-thoracic rhtym. Scapula bone has uneven bony mass distribution. Anatomical scapular plate is a pre-contoured implant which is specially designed to meet the morphology of the scapula bone. Restoration of the anatomy of the scapula is very important since it will restore the scapula-thoracic rhythm and thus gleno-humeral joint function. Conclusion: In our short follow up, displaced scapular body fracture shows good gleno-humeral joint functional outcome when treated with anatomical scapula plate. Scapula bone plays important role in maintaining the biomechanics of gleno-humeral joint. References: 1. Terry GC, Chopp TM. Functional anatomy of the shoulder. J Athlet Train 2000;35(3):248–55. 2.Halder AM, Itoi E, An K. Anatomy and biomechanics of the shoulder. Orthop Clin NA 2000;31(2).

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Case report of an unusual extra-articular scapular malunion: Rare indication for surgery

Shoulder & Elbow ◽

10.1177/1758573220906557 ◽

2020 ◽

pp. 175857322090655

Author(s):

Bhanu Mishra ◽

N Grocott ◽

K Smith ◽

D McClelland

Keyword(s):

Surgical Intervention ◽

Polar Angle ◽

High Energy ◽

Dorsal Side ◽

Concomitant Injuries ◽

Multiple Rib Fractures ◽

Poor Outcome ◽

Scapular Fractures ◽

Body Fracture ◽

Scapular Body

Introduction Scapular fractures are relatively rare injuries usually associated with high-energy trauma and multiple concomitant injuries. Most of scapular fractures do not require surgical intervention. Patient and clinical history A 42-year-old male sustained an extra-articular scapular body fracture along with multiple rib fractures with flail segments and right pneumothorax treated with intercostal drain. The scapula fracture was treated non-operatively initially, which resulted in very poor outcome. Operative intervention was planned following scans which showed a bony spike from the ventral surface impinging on the chest wall. Surgical technique Bony spur was approached from dorsal side using a three-dimensional anatomical model as a guide for accurate localization. Results The patient’s symptoms including shoulder stiffness and pain on deep inspiration settled down completely following removal of the spur. Discussion This case presents a new indication for surgical intervention in scapular body fracture which has not been published before. All the relevant measurements related to the fracture namely gleno-polar angle, lateral border offset and angulation were within published limits of indications for conservative treatment. Despite this, it resulted in poor outcome necessitating surgical intervention.

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Delayed Mesenteric Hematoma of the Sigmoid Colon Following Blunt Abdominal Trauma

Medical & Clinical Research ◽

10.33140/mcr.02.01.09 ◽

2017 ◽

Vol 2 (1) ◽

Keyword(s):

Motor Vehicle ◽

Pelvic Fractures ◽

Motor Vehicle Crash ◽

Organ Injury ◽

Contrast Extravasation ◽

Body Fracture ◽

Mesenteric Hematoma ◽

Level I ◽

Hispanic Male ◽

Trauma Bay

A 25-year-old Hispanic male was transferred to our level I trauma center after being ejected 40 feet from a motor vehicle crash. Once stabilized in the trauma bay, a computed tomography (CT) scan of the abdomen/pelvis with IV contrast revealed two AAST Organ Injury Scale grade III liver lacerations without contrast extravasation, bilateral pulmonary contusions, right posterior non-displaced fourth rib fracture, non-displaced right scapular body fracture, and bilateral anterior and posterior pelvic fractures [Figures 1–2]. A non-operative approach to the hepatic lacerations was chosen and the patient underwent closed reduction and percutaneous pinning of his posterior pelvic fractures as well as anterior external fixation of his bilateral pubic rami fractures.

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C1-C2 Wiring With Timed Self-Obsolescence for Complex C2 Body Fracture

Operative Neurosurgery ◽

10.1093/ons/opab143 ◽

2021 ◽

Author(s):

William W Wroe ◽

Bradley Budde ◽

Joseph C Hsieh

Keyword(s):

Range Of Motion ◽

Clinical Presentation ◽

Spinous Process ◽

Lateral Mass ◽

Novel Technique ◽

Internal Stabilization ◽

Body Fracture ◽

Permanent Loss ◽

Osteosynthesis Techniques ◽

Lateral Mass Fracture

Abstract BACKGROUND AND IMPORTANCE Fractures of C2 are typically managed nonoperatively with good rates of healing. Management decisions are complicated, however, when there are additional fractures in the axis possibly leading to increased instability. Additionally, the techniques used for treating these unstable axis fractures can have either significant complications or permanent loss of range of motion. Here, we present a novel technique for the reduction and stabilization of complex C2 body fracture. CLINICAL PRESENTATION A 34-yr-old woman with a complex C2 body fracture, which included a right pars and left lateral mass fracture, presented after a water slide accident. It was felt that this fracture was both unstable and would not heal in an anatomically acceptable way so an open surgical reduction was needed. After consideration of more traditional fusion and osteosynthesis techniques, we chose to perform a C1-C2 internal stabilization with C1 sublaminar and C2 spinous process wiring. The patient was then instructed to wear a Miami J collar for 3 mo. CONCLUSION The outcome was favorable with good approximation and healing with preserved range of motion.

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Bilateral Distal Radius Fractures in a 12-Year-Old Boy after Household Electrical Shock: Case Report and Literature Summary

Case Reports in Medicine ◽

10.1155/2014/235756 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Norman Stone ◽

Mara Karamitopoulos ◽

David Edelstein ◽

Jenifer Hashem ◽

James Tucci

Keyword(s):

Distal Radius ◽

Electric Shock ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Electrical Shock ◽

Medline Search ◽

Household Level ◽

Ovid Medline ◽

Body Fracture ◽

Humerus Fractures

Background. Fracture resulting from household electric shock is uncommon. When it occurs, it is usually the result of a fall; however, electricity itself can cause sufficient tetany to produce a fracture. We present the case of bilateral fractures of the distal radii of a 12-year-old boy which were sustained after accidental shock. The literature regarding fractures after domestic electric shock is also reviewed.Methods. An Ovid-Medline search was conducted. The resultant articles and their bibliographies were surveyed for cases describing fractures resulting from a typical household-level voltage (110–220 V, 50–60 Hertz) and not a fall after the shock. Twenty-one articles describing 22 patients were identified.Results. Twenty-two cases were identified. Thirteen were unilateral injuries; 9 were bilateral. Proximal humerus fractures were most frequent (8 cases), followed by scapula fractures (7 cases), forearm fractures (4 cases), femoral neck fractures (2 cases), and vertebral body fracture (1 case). Eight of the 22 cases were diagnosed days to weeks after the injury.Conclusions. Fracture after electric shock is uncommon. It should be suspected in patients with persistent pain, particularly in the shoulder or forearm area. Distal radius fractures that occur during electrocution are likely due to tetany.

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