Scapula fracture clinical manifestations and treatment

Scapula fracture has its different good site and the different mechanisms of traumatic injuries and anatomy. Clinical manifestations and treatment vary . Following a few sites were described. 1. Scapular fracture Fracture of the scapula fracture is the most common site. Mainly caused by direct violence. As mentioned above, generally slightly outside is not easy A scapular fracture. Such as the fracture has occurred, then very serious violence, to remind doctors should carefully check whether the merger ribs bone Pack, spinal fracture and possible chest organ injuries, such as lung injury, pneumothorax, such as blood chest. Instead such a serious chest injury, There should also be very vigilant scapula fracture may be. Of fractures occurred in the corner under the scapula, rarely occur in the Shangjiao body parts. Fracture line can be oblique or over, more to smash Fractures. As the muscles around the attachment, separation or fracture occurred rarely overlap shift. Fracture of the clinical manifestations of scapular pain and swelling. When suffering from shoulder pain increased and hence can not fully do outreach activities. Physical examination, Can be found scapula soft tissue swelling, skin bruises grouper and inconsistent with tenderness. As fractures in the deeper parts, tenderness broader scope. Such as Spinal or axillary margin of the margin of displaced fractures, and sometimes to reach the displaced bone. Checks are to live the primary stability of the upper part of the scapula and scapula Okazaki With one hand and gently move under the scapula angle. Such as the fracture lines running through body, it can increase the pain, even leads to abnormal activities and bone rubbing Music. As the hematoma induced muscle cramps and pain, shoulder the initiative outreach activities often significantly constrained. Therefore there can be false rotator cuff damage The signs of injury (because of subscapular muscle, the supraspinatus muscle and Okazaki hematoma due to stimulate the muscle, muscle cramps caused). When the hematoma is absorbed, muscle cramps Consumers After the loss, shoulder outreach functions also will resume. And should pay attention to the real nerve injury and rotator cuff shoulder injury caused by dysfunction of identification. To confirm the diagnosis and type of fracture, should take place before and after the scapula and the tangent of X-ray film. If passive shoulder outreach to reduce scapular Bone and the overlap of the thorax, can be more clearly shows fracture site. Second, Okazaki scapular fracture Okazaki scapular fracture of fractures and often co-exist, even in alone, of them direct cause of violence. After the partial fracture of the soft tissue Swelling, pain, fractures can sometimes touch-and abnormal activities. General rare fracture displacement. With the treatment of fractures. 3. Scapular neck fracture Scapula fracture of the neck fracture is more common, more indirectly caused by external forces. Fell through when the conduction of the upper limb or directly to foreign forces For the outside shoulder and neck fractures can be caused. Sometimes a fracture of the glenoid side by side. Scapular neck fracture in general since the scapula fracture line from the scapula On the notch, extending outward through the neck down to the glenoid point margin under the armpit. Therefore coracoid process, together with a shoulder fracture of the glenoid remote, and more for End The whole block fractures, and sometimes smash fracture, fracture between the client may have embedded into deformity. If coracoclavicular ligament and acromioclavicular ligament integrity, the remote did not fracture There will be significant shift. Instead if they have been ligament injury or fracture line than the partial fracture, through the lateral coracoid process, even the remote fracture With the upper limbs lost in the clavicle on the suspension, traction role of gravity allows the upper limb fracture remote downward shift inward. Scapular neck fracture displacement, although the shoulder of the activities do not function. However, due to shoulder glenoid angle changes will affect the shoulder Joint stability, allowing easy in subluxation or dislocation. Shift-scapular neck fracture dislocation of the shoulder is similar to the clinical manifestations: variable-shape shoulder, shoulder prominent, subclavian Wochu full. Top outward pressure from within the humeral head will add to the pain. Active activities due to shoulder pain increased and limited. And shoulder dislocation different point is not physically At a fixed deformity, gentle passive activities, shoulder to allow a considerable range of activities. Check those entrusted with upward at the elbow, shoulder deformity income Reduced or disappeared, while that scapular neck bone fricative. Relax hand, shoulder deformity immediate relapse. No shift in the neck fracture, clinical deformity was not obvious, the diagnosis often is difficult. In addition to shoulder pain and shoulder activities, the Department will have axillary Tenderness, the check can be used to hold the primary body of the scapula and the next corner with one hand and holding his shoulder and coracoid process, to do the opposite direction of the activities And sometimes to identify any unusual activity and bone fricative. Shoulder-around, especially outside the booth, shoulder x-examination can confirm the diagnosis, and a clear indication that the type of fracture. The apparent shift comminuted fracture or serious, can be used, the word people stand shoulder plaster fixed 6 to 8 weeks, or outside the booth traction treatment. Lead Reply patients at the supine position, with shoulder abduction, the elbow flexion to 90 °, so that forearm vertically upwards. Forearm with skin traction, hanging heavy l.5 ~ 2.5 kg. Paper held or upper arm with olecranon traction, the hanging weight from 2.5 to 5 kilograms. For three to four weeks after the removal of traction, for San Jiaojin protection, and gradually open Before the shoulder exercise. 4. Scapular fracture of the glenoid Yu shoulder fracture may also be indirect or direct foreign forces from outside. Indirectly caused by external forces often avulsion fracture, such as traumatic shoulder dislocation about 20% of the cases associated with the glenoid margin Flake avulsion fracture. Triceps can cause severe contraction of parts of the glenoid avulsion fracture. The head of the humerus Direct impact, and often easy to create larger scope of the joint surface compression fractures or comminuted fracture. Reset when the adverse secondary easily lead shoulder dislocation. Sometimes shoulder glenoid merger shoulder fracture, also tends to shoulder instability. Yu shoulder fracture and neck fractures of the clinical manifestations are basically the same. Shoulder front view X-ray film, especially axillary-X-ray, clearly show that shoulder Yu before and after the fate of the avulsion fracture. 5, shoulder fracture Shoulder in shoulder most prominent, but solid bone structure, it may become a shoulder fracture of foreign forces, first of all, the clavicle fracture Or acromioclavicular joint brachial shoulder dislocation. Shoulder fracture relatively rare, direct general of them down the role of external cause. Conduction of violence, such as Humeral head up through the collision, or shoulder abduction, because of the humerus of the lever nodules Top pry, but also can cause fractures. A fracture site As the acromioclavicular joint lateral, but also occurred in the basement shoulder. Basement fractures, because of the deltoid muscle pull and the role of body weight, bone Remote can be folded down inside shift. Physical examination, with shoulder-change, local soft-tissue swelling, outreach arm when the pain increased significantly. Okazaki along the scapula, when touch-palpation fracture The limits of the tenderness and abnormal activities. Acromioclavicular joint lateral shoulder fracture, fractures smaller pieces, the general shift little more signs not obvious. Local foreseeable edema, shoulder-limit of the tenderness, sometimes touching the bone-free. Diagnosis of fractures at the same time, attention should be paid the limb nerve function Inspection, except to the brachial plexus injury. Axillary-shoulder front view and X-ray to determine the diagnosis. Read attention should be paid and non-closure of the epiphysis shoulder or shoulder bone (os acromiale) of identification. When in doubt can be taken shoulders x-ray contrast. About 62 percent of bilateral symmetry for the shoulder bone.