Journal article
Scapular Fractures After Reverse Shoulder Arthroplasty
Journal of the American Academy of Orthopaedic Surgeons, Vol.30(5), pp.E517-E527
03/01/2022
DOI: 10.5435/JAAOS-D-20-01205
PMID: 35050935
Abstract
With the increased use of reverse shoulder arthroplasty, the complication of postoperative scapular fracture is increasingly recognized. The incidence is variable and dependent on a combination of factors including patient age, sex, bone mineral density, diagnosis of inflammatory arthritis, acromial thickness, and implant-related factors. Acromial stress reactions are a clinical diagnosis based on a history and physical examination. These are treated successfully with 4 to 6 weeks of immobilization. Acromial stress fractures are visible on imaging studies and are classified based on anatomic location by the classification systems of Crosby and Levy. In approximately 20% of fractures, a CT scan is necessary to make the diagnosis. Treatment is typically nonsurgical that leads to a high rate of nonunion or symptomatic malunion. Scapular spine fractures (type III) can be treated with either nonsurgical or surgical management; however, obtaining fracture union is challenging, and the outcomes are typically inferior to that of type I and II fractures. Although the nonsurgical and surgical treatment of acromial stress fractures improves the clinical outcomes from the patient's preoperative state, the outcomes of a control group undergoing reverse shoulder arthroplasty without fracture are better. The exception to this is oftentimes the displaced and angulated type III fracture.
Details
- Title: Subtitle
- Scapular Fractures After Reverse Shoulder Arthroplasty
- Creators
- Joseph W. Galvin - Madigan Army Med Ctr, Dept Orthopaed Surg, Joint Base Lewis McChord, WA 98431 USAJosef K. Eichinger - University of South CarolinaXinning Li - Boston UniversityStephen A. Parada - Augusta University
- Resource Type
- Journal article
- Publication Details
- Journal of the American Academy of Orthopaedic Surgeons, Vol.30(5), pp.E517-E527
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.5435/JAAOS-D-20-01205
- PMID
- 35050935
- ISSN
- 1067-151X
- eISSN
- 1940-5480
- Number of pages
- 11
- Language
- English
- Date published
- 03/01/2022
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984618516602771
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