Conservative treatment of scapular neck fracture: the effect of stability and glenopolar angle on clinical outcome.
The aim of this study was to determine the effect of stability and glenopolar angle on the clinical outcome of conservatively treated scapular neck fractures. Eighteen patients with scapular neck fractures were treated with conservative treatment. Twelve of the 18 patients had surgical neck fractures, whilst six of them had anatomical neck fractures. Anteroposterior radiographs and computerised tomography were performed for each patient. Glenopolar angle was measured through anteroposterior radiographs in the scapular plane. After 3-5 weeks of immobilisation, a rehabilitation programme was started, throughout which all the patients were treated in a 3-phase rehabilitation programme. The mean follow-up was 25 months, and the Constant score was 78.83+/-8.12 point (range: 68-94 points). Patient gender and the type of scapular neck fractures had no effect on functionality or clinical outcome (p>0.05), whilst associated injuries significantly affected the clinical outcome (p<0.05). There was a positive correlation between the Constant score and glenopolar angle (r=0.891, p<0.05) and between the age and glenopolar angle (r=0.472, p<0.05).
Bozkurt
Murat
M
Emergency Care and Traumatology Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey. nmbozkurt@yahoo.com
Can
Filiz
F
Kirdemir
Vecihi
V
Erden
Zafer
Z
Demirkale
Ismail
I
Başbozkurt
Mustafa
M
D000063:Accidents, Traffic; D000328:Adult; D000367:Age Factors; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D007593:Joint Instability / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000534:rehabilitation / Q000628:therapy; D012540:Scapula / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome