A comparison of actual and theoretical treatments of glenoid fractures
| Autor: | David Ring, Valentin Neuhaus, Mariano E. Menendez, Gertraud Gradl, Mark van Suchtelen, Frans J. Mulder |
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| Přispěvatelé: | University of Zurich, Ring, David |
| Rok vydání: | 2014 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Glenopolar angle Glenoid Cavity Intra-Articular Fractures Radiography 610 Medicine & health Scapular fracture Fracture Fixation Internal Fractures Bone 2732 Orthopedics and Sports Medicine medicine Humans Displacement (orthopedic surgery) Multivariable model Range of Motion Articular General Environmental Science Aged Retrospective Studies Aged 80 and over Fracture Healing business.industry Recovery of Function Middle Aged Models Theoretical medicine.disease Surgery 10021 Department of Trauma Surgery Bankart lesion medicine.anatomical_structure Practice Guidelines as Topic General Earth and Planetary Sciences Female Radiology Level iii 2711 Emergency Medicine business Angular deformity Follow-Up Studies |
| Zdroj: | Injury. 46(4) |
| ISSN: | 1879-0267 |
| Popis: | Background There is no consensus on the operative treatment of glenoid fractures. The purpose of this study was to see whether there was a difference between how patients with a glenoid fracture would receive treatment according to theoretical operative indications based on the measurement of computed tomography (CT) scans and radiographs and the treatment they actually received in our institutions. Methods A total of 457 patients with a scapular fracture were treated in two level 1 trauma centres between January 2002 and August 2011. Ninety-eight patients with a glenoid fracture were retrospectively analyzed. Intra-articular gap, medial or lateral (M/L) displacement, angular deformity, and glenopolar angle (GPA) were measured on CT scans or radiographs to determine theoretical indications for operative treatment. Results Twenty-four patients (25%) actually had operative treatment, while 35 patients (36%) fulfilled at least one theoretical criterion to proceed with operative treatment with a medium correlation between theoretical indications for surgery and the actual operative treatment. All the patients with a theoretical indication for surgery had an intra-articular gap with a step-off of >4 mm. A bony Bankart lesion with shoulder dislocation and injury in sports was retained in the best multivariable model as indications for the actual surgery. Conclusion Theoretical guidelines for surgery on glenoid fractures may not have much influence on the current treatment. Level of evidence Therapeutic, level III. |
| Databáze: | OpenAIRE |
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