SURGICAL MANAGEMENT OF SCAPULAR NECK FRACTURES: PROSPECTIVE STUDY
Journal of Evolution of Medical and Dental Sciences
Scapula fractures are uncommon injuries, representing approximately 3 to 5% of all shoulder fractures. Usually the scapular fractures are managed conservatively here I have done a study to evaluate the results of surgical treatment in scapular neck fractures. MATERIALS AND METHODS: I studied six patients who had displaced scapular neck fractures admitted to our hospital between May 2013 and April 2015. All cases were operated by open reduction and internal fixation with locking reconstruction
... ng reconstruction plate and screws. And follow up done at 3, 6 and 12 weeks for function and radiological outcome. RESULTS: All patients were followed at 3, 6 weeks and 12 weeks for the clinical and radiological assessment for the range of motion at the shoulder joint and union respectively. At the end of 12 weeks range of movement was full at the shoulder joint without any pain and disability. And radiological evaluation show complete osteosynthesis in all our patients by twelve weeks. CONCLUSION: Open reduction and internal fixation followed by early mobilization helps in preventing stiffness, pain, and disability in scapular neck fractures. And also helps in complete anatomical osteosynthesis. Resistance exercise is started only after complete radiological healing of fracture. In all our patients we achieved full range of movement at the shoulder joint and complete radiological healing by twelve weeks which is comparable to other standard studies. [7, 8, 9, 10] CONCLUSION: Open reduction and internal fixation followed by early mobilization helps in preventing stiffness, pain, and disability in scapular neck fractures. And also helps in complete anatomical osteosynthesis.