A review of 10 years of scapula injuries sustained by UK military personnel on operations
| Autor: | S A Stapley, Dominic Power, D.C. Roberts |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Poison control Fracture Fixation Internal Fractures Bone Fractures Open 03 medical and health sciences Injury Severity Score 0302 clinical medicine Scapula Blast Injuries Injury prevention Humans Medicine Brachial Plexus Registries Retrospective Studies Fracture Healing 030222 orthopedics business.industry Soft tissue 030208 emergency & critical care medicine Retrospective cohort study General Medicine United Kingdom Surgery Military Personnel medicine.anatomical_structure Upper limb Wounds Gunshot business Brachial plexus |
| Zdroj: | Journal of the Royal Army Medical Corps. 164:30-34 |
| ISSN: | 2052-0468 0035-8665 |
| DOI: | 10.1136/jramc-2017-000773 |
| Popis: | BackgroundScapula fractures are relatively uncommon injuries, mostly occurring due to the effects of high-energy trauma. Rates of scapula fractures are unknown in the military setting. The aim of this study is to analyse the incidence, aetiology, associated injuries, treatment and complications of these fractures occurring in deployed military personnel.MethodsAll UK military personnel returning with upper limb injuries from Afghanistan and Iraq were retrospectively reviewed using the Royal Centre for Defence Medicine database and case notes (2004–2014).ResultsForty-four scapula fractures out of 572 upper limb fractures (7.7%) were sustained over 10 years. Blast and gunshot wounds (GSW) were leading causative factors in 85%. Over half were open fractures (54%), with open blast fractures often having significant bone and soft tissue loss requiring extensive reconstruction. Multiple injuries were noted including lung, head, vascular and nerve injuries. Injury Severity Scores (ISS) were significantly higher than the average upper limb injury without a scapula fracture (pConclusionScapula fractures have a 20 times higher incidence in military personnel compared with the civilian population, occurring predominantly as a result of blast and GSW, and a higher than average ISS. These fractures are often associated with multiple injuries, including brachial plexus injuries, where those sustained from blast have less favourable outcome. High rates of union following fixation and low rates of infection are expected despite significant contamination and soft tissue loss. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|