肩胛骨骨折合并锁骨骨折治疗方法探讨

Study of treatment of scapular fractures with associated clavicle fractures

目的探讨肩胛骨骨折合并锁骨骨折的治疗方法. 方法 23例肩胛骨骨折合并锁骨骨折的患者,13例行保守治疗,2个月后进行肩关节功能锻炼;10例行锁骨骨折、肩胛骨骨折切开复位重建钢板内固定,术后4周进行肩关节功能锻炼. 结果 23例患者骨折全部愈合.18例获随访,其中手术治疗8例,保守治疗10例,随访时间8～16个月,平均12个月.手术患者7例肩关节功能恢复优良,1例可;保守治疗患者6例肩关节功能恢复优良,3例可,1例差. 结论肩胛骨骨折合并锁骨骨折切开复位内固定,恢复了肩关节的动力平衡及稳定性,可早期进行功能锻炼,是一种较好的治疗方法.

Objective To explore the treatment methods for scapular fractures associated with clavicle fractures. Methods Of 23 cases with scapular fractures associated with clavicle fractures, 13 treated conservatively took the function exercise of shoulder joint after two months and 10 treated with open reduction and plate fixation reconstruction began the function exercise of shoulder joint four weeks after operation. The follow up averaged 12 months. Results All patients were healed up. The followed up 18 cases were treated surgically (eight cases) or conservatively (10 cases). Of eight cases treated surgically, seven got excellent functional recovery of the shoulder joint and one satisfactory. In the meantime, of 10 cases treated conservatively, the recovery of shoulder joint was excellent in six, good in three and poor in one. Conclusion As for scapular fractures with associated clavicle fractures, open reduction and plate fixation reconstruction is a good treatment method for it can keep the stability and the balance of shoulder joint and is helpful for early functional exercise and recovery of the shoulder joint.