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Scapula fractures a twenty five year experience

Author: 
Efstathios K. Metaxas, Konstantinos Tzelepis, Ioannis Stamatatos, Stavroula Amanetopoulou, Dimitrios Tsiftsis, Aristotelis K. Stefoudis, Damon Charalampides, Dimitrios Klapsakis, Dimitrios Paschalinos, Symeon Patsos, Lazaros Tsiatsios, Fragkiskos Tzagkara
Subject Area: 
Health Sciences
Abstract: 

Background: To determine the importance of the scapula bone fractures upon the causes, sex, age groups, associated injuries, morbidity and mortality. Methods: In a 25 year period a retrospective study took place. One hundred and eight (108) patients diagnosed with scapula fracture in General Hospital of Nicaea-Piraeus Agios Panteleimon Thoracic and Orthopaedic Surgery Department. Results: Between the years 1995 to 2020(25years) 108 patients diagnosed with scapula bone fracture, 81 male (75%) and 27 female (25 %), aged 19-91 years mean age 34 years. Aetiologic factor: Traffic accident 81 (75%), fall from high 24 (22,22 %) and Gunshot injuries 3( 2,777%) patients. Associated injuries: Rib fractures 85, First and Second rib fractures 31, Sternal fractures 17, Flail chest 29, Pneumohaemothorax 81, Haemopericardium 2, Pneumomesopmeumonium 1, Lung Contusion 65, Diaphragmatic ruptures 3, Kidney injury-Nephrectomy 2, Haemoperitoneum 14, Head injuries 34, Vertebral fractures 37, Pelvis fractures 8, Upper extremities fractures 67, Lower extremities fractures 13.Surgical treatment of the scapula required 9 patients, all male. Mortality rate raised 3,703 %. Four patients all male and octogenarians. Conclusion: Most of the patients underwent chest drain insertion for Pneumohaemothorax. Otherwise conservative treatment for the majority of the patients, analgesic and anti-inflammatory medication, nebulizers, low molecular heparin, monitoring, physiotherapy and early mobilization. A simple chest radiography is standard for the diagnosis, but computer tomography is considered gold standard. Surgical treatment required approx. 1% of the population study. All for glenoid scapula fractures. Attention should be given to collaboration with other specialties in the hospital, like, general surgeons, neurosurgeons, orthopedics and anesthesiologists for the proper management when intervention or operation is required.

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