- Конечность фиксируется подвешивающей повязкой с поясным ремнем на 6 недель
- В первые 4-6 недель разрешаются пассивные движения
- Через шесть недель начинаются активные движения
- Упражнения для укрепления мышц начинаются через три месяца после операции
- Функциональный результат зависит от типа перелома, качества его репозиции и фиксации и послеоперационной реабилитации
- Осложнения операции включают неправильную консолидацию, дискомфорт в области металлоконструкций, ограничение движений в плечевом суставе, повреждение надлопаточного нерва и формирование гематомы/серомы:
• Контрактура плечевого сустава, требующая редрессации в условиях анестезии, может понадобиться до 10% пациентов
б) Список использованной литературы:
Ada JR, Miller ME. Scapular fractures: analysis of 113 cases. Clin Orthop Relat Res 1991;1(269):74-80.
Anavian J, Gauger EM, Schroder LK, et al. Surgical and functional outcomes after operative management of complex and displaced intra-articular glenoid fractures. J Bone Joint Surg Am 2012;94:645-53.
Aulicino PL, Reinert C, Kornberg M, et al. Displaced intraarticular glenoid fractures treated by open reduction and internal fixation. J Trauma 1986;26:1137.
Bauer G, Fleischman W, DuBler E. Displaced scapular fractures: indication and long term results of open reduction and internal fixation. Arch Orthop Trauma Surg 1994;14:215.
Brandsema B, Neuhaus V, Gradl G, et al. Extra-articular scapular fractures: comparison of theoretical and actual treatment. Shoulder Elbow 2016;8:3-8.
Brodsky JW, Tullos HS, Gartsman GM. Simplified posterior approach to the shoulder joint: a technical note. J Bone joint Surg 1987;69:773-4.
Chang AC, Phadnis J, Eardley-Harris N, et al. Inferior angle of scapula fractures: a review of literature and evidence-based treatment guidelines. J Shoulder Elbow Surg 2016;25:1170-4.
Cole PA, Gauger EM, Schroder LK. Management of scapular fractures. J Am Acad Orthop Surg 2012;20:130-41.
Cole PA, Gauger EM, Herrera DA, et al. Radiographic follow-up of 84 operatively treated scapula neck and body fractures. Injury 2011;43:327-33.
Cole Jr PA, Jacobson AR, Cole Sr PA. Open reduction and internal fixation of scapula fractures in a geriatric series. Geriatr Orthop Surg Rehabil 2015;6:180-5.
Goss TP. Fractures of the glenoid cavity. Current concepts review. J Bone Joint Surg [Am] 1992;74: 299-305.
Goss TP. Fractures of the glenoid cavity (operative principles and techniques). Tech Orthop 1994:8:199.
Goss TP. Fractures of the glenoid neck. J Shoulder Elbow Surg 1994;3:42-52.
Goss TP. Fractures of the scapula. In: Rockwood CA, Matsen III FA, Wirth MA, Lippitt SB, editors. The shoulder. 3rd ed. Philadelphia: Elsevier; 2004. p. 413-54.
Hardegger FH, Simpson LA, Weber BG. The operative management of scapular fractures. J Bone Joint Surg [Br] 1984;66:725.
Ideberg R. Fractures of the scapula involving the glenoid fossa. In: Bateman JE, Welsh RP, editors. Surgery of the shoulder. Philadelphia: BC Decker; 1984. p. 63-6.
Ideberg R, Grevsten S, Larsson S. Epidemiology of scapular fractures. Acta Orthop Scand 1995;66:395.
Jones CB, Cornelius JP, Sietsema DL, et al. Modified Judet approach and minifragment fixation of scapular body and glenoid neck fractures. J Orthop Trauma 2009;23:558-64.
Jones CB, Sietsema DL. Analysis of operative versus nonoperative treatment of displaced scapular fractures. Clin Orthop Relat Res 2011 ;469:3379-89.
Kavanagh BF, Bradway JK, Cofield RH. Open reduction of displaced intra-articular fractures of the glenoid fossa. J Bone Joint Surg [Am] 1993;75:479.
Leung KS, Lam ТВ, Poon KM. Operative treatment of displaced intra-articular glenoid fractures. Injury 1993;24:324.
Miller ME, Ada JR. Injuries to the shoulder girdle. In: Browner BD, Jupiter JB, Levine AM, Trafton PY, editors. Skeletal trauma. 2nd ed. Philadelphia: WB Saunders; 1992. p. 1291.
Nordqvist A, Petersson C. Fracture of the body, neck or spine of the scapula. Clin Orthop Relat Res 1992;(283):139-44.
Pace AM, Stuart R, Brownlow JH. Outcome of glenoid neck fractures. J Shoulder Elbow Surg 2005;14:585-90.
Pizanis A, Tosounidis G, Braun C, et al. The posterior two-portal approach for reconstruction of scapula fractures: results of 39 patients. Injury 2013;44:1630-5.
Schandelmaier P, Blauth M, Schneider C, Krethek C. Fractures of the glenoid treated by operation: a 5- to 23-year follow-up of 22 cases. J Bone Joint Surg [Br] 2002;84:173-7.
Schroder LK, Gauger EM, Gilbertson JA, et al. Functional outcomes after operative management of extra-articular glenoid neck and scapular body fractures. J Bone Joint Surg Am 2016;98:1623-30.
Van Noort A, te Slaa RL, Marti RK, van der Werken C. The floating shoulder: a multicentre study. J Bone Joint Surg [Br] 2001 ;83:795-8.
Zdravkovic D, Damholt W. Comminuted and severely displaced fractures of the scapula. Acta Orthop Scand 1974;45:60-5.
