Scapula body fracture

Introduction to scapula fracture The scapula is surrounded by muscles, and the fracture is rare, accounting for about 0.2% of the total body fracture, and it occurs mostly in the scapula body and neck, often as part of multiple injuries. basic knowledge The proportion of the disease: the incidence of this disease in trauma patients is about 0.0065% Susceptible people: no special people Mode of infection: non-infectious complication:

Cause of scapular body fracture

(1) Causes of the disease

Mostly caused by strong direct violence or firearm injuries.

(two) pathogenesis

Scapular body fractures are mainly caused by direct violence. For example, heavy objects or firearm injuries directly damage the scapula body. Most of them are comminuted fractures. Sometimes there are transverse or oblique fractures. Because of the muscle protection before and after the scapula, there is no obvious fracture. Position, but pay attention to the presence of rib fractures or chest organ injuries.

Scapular body fracture prevention

Prevent violent injuries.

Scapular body fracture complications Complication

The range of motion of the affected shoulder is limited, especially in the exhibition.

Scapular body fracture symptoms Common symptoms Condensed shoulder pain Shoulder joint activity restricted

Pain

Limited to the scapula, the shoulder joint activity is particularly obvious, and the tender part is more consistent with the fracture line.

2. Swelling

It is necessary to find the bilateral comparison, the degree depends on the type of fracture. The comminuted fracture is more obvious due to more bleeding, swelling, and even the subcutaneous can have ecchymosis, while the general fracture is more without swelling.

3. Limited joint activity

The range of motion of the affected shoulder is limited, especially in the outreach; and it is accompanied by severe pain and refuses to move.

Muscle spasm

Including the supraspinatus muscle, the infraspinatus muscle and the subscapularis muscle, and other symptoms such as continuous contraction-like changes due to fractures and hematoma stimulation.

Examination of scapula fractures

X-ray examination, CT scan and CT three-dimensional reconstruction can clearly show the scapular fracture.

Diagnosis and diagnosis of scapula fracture

History of trauma

Mostly caused by direct violence.

2. Clinical manifestations

Swelling of the scapula, pain, tenderness and movement disorders of the shoulder joints.

3. Imaging examination

Clear X-ray film (front and back position, lateral position and tangential position) are required. Most of them can be diagnosed. CT scan can be used for patients with difficult diagnosis. In the imaging examination, attention should be paid to the presence or absence of chest injury. Therefore, Regular and clear chest radio is indispensable.

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