肩胛骨骨折的诊断与治疗

Diagnosis and treatment of scapula fractures

肩胛骨骨折较少见,常继发于高能量创伤,90%的肩胛骨骨折患者常伴有其他危及生命的损伤,由于首诊时常注意一些严重损伤,肩胛骨骨折的诊断往往被遗漏。大多数肩胛骨骨折采用保守治疗即可获得满意的预后,但对于关节内及移位明显的骨折,目前多主张手术治疗以促进骨折愈合和提高功能恢复。本文就肩胛骨骨折的诊断和治疗作一综述。

Scapula fractures are rare and frequently occur secondary to high-energy trauma.Ninety percent of patients are often accompied with other potentially life-threatening injuries.Diagnosis of scapula fractures are often overlooked for the heavy injuries during the first diagnosing.Most patients can get satisfactory outcome by conservative treatment.However,the operative intervention should be considered for the patients who have displaced or intra-articular fracture in order to accelerat fracture healing and improve functional recovery.In this paper,we reviewed the diagnosis and treatment of scapula fractures.