Characteristics, Management, and Outcomes of Inferior Scapula Angle Fractures: A Systematic Review of the Literature.
conservative
displacement
inferior angle
inferior scapula angle fracture
management
operative
scapula
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
accepted:
23
07
2022
entrez:
30
8
2022
pubmed:
31
8
2022
medline:
31
8
2022
Statut:
epublish
Résumé
Fractures of the inferior angle of the scapula represent a rare entity, with few cases published in the literature to date. Their optimal management is still unclear. A systematic literature search was conducted in PubMed and Google Scholar of reports published between 1977 and 2022. Inclusion criteria were cases presenting inferior scapula angle fractures (ISAF) and reporting management and outcomes. Extracted data included patient demographics (age, sex), mechanism of injury, associated injuries, management, procedures performed, and outcomes. Seventeen studies (22 cases; 19 males and three females) were included. The mean age was 33 years (15 adult and seven pediatric cases). High energy injuries were the most common mechanism of injury (77%). Displacement of the fragment was reported in 64%. The most common initial treatment was conservative (77%); of these cases, more than half failed initial treatment (53%). Of the displaced ISAF cases, 89% failed conservative treatment, contrary to 83% of the nondisplaced cases that were successfully treated conservatively. Surgery yielded 100% success both as initial treatment and after failed conservative management. Displaced fractures should be approached surgically, while conservative management should be reserved for nondisplaced fractures.
Identifiants
pubmed: 36039266
doi: 10.7759/cureus.27192
pmc: PMC9395764
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e27192Informations de copyright
Copyright © 2022, Mousafeiris et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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