title: Operative techniques in the management of scapular fractures.
abstract: Operative fixation of the scapula is associated with good outcomes. Techniques have been developed to facilitate surgical exposure of the osseous anatomy so that stability can be achieved. Although the familiar deltopectoral approach can be used for anterior glenoid fractures, the more common exposure is a posterior approach for fractures involving the neck and body of the scapula. The posterior approach has been nuanced to match needs related to fracture pattern and timing of surgery. Reducing the fragments and stabilizing them can be challenging but, a satisfactory reduction and stable fixation can be achieved, which allows immediate motion and rehabilitation.
authors.affiliation: Department of Orthopaedic Surgery, Regions Hospital, 640 Jackson Street, St Paul, MN 55101, USA. peter.a.cole@healthpartners.com
authors.forename: Peter A
authors.initials: PA
authors.lastname: Cole
authors.forename: Jonathan R
authors.initials: JR
authors.lastname: Dubin
authors.forename: Gil
authors.initials: G
authors.lastname: Freeman
mesh_terms: D001696:Biomechanical Phenomena; D001858:Bone Nails; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control; D019060:Minimally Invasive Surgical Procedures; D018482:Muscle, Skeletal / Q000502:physiology; D019637:Orthopedic Procedures / Q000379:methods*; D011182:Postoperative Care; D017006:Rotator Cuff / Q000473:pathology; D012540:Scapula / Q000293:injuries* / Q000294:innervation / Q000502:physiology
keywords: Judet approach; Open reduction with internal fixation; Scapula; Scapula fractures; Scapula reduction techniques