title: [Stress fracture of the scapular spine associated with rotator cuff dysfunction: Report of 3 cases and review of the literature].
abstract: Scapular spine stress fractures have been scarcely reported in the literature. Their pathomechanics, clinical course and treatment are not well established. We review 3 cases in 2 patients that were associated with cuff dysfunction. On follow-up, none of these fractures progressed to healing. Two of them needed osteosynthesis and bone grafting, and the third one became a painless non-union. The authors propose the combination of 3 factors as a reason for this lesion: a functionally impaired cuff, a greater activation of the muscles with origin and insertion in the spine-acromion and a fragile bone. As we believe that these fractures are unstable, and non-union would be expected, their surgical management is recommended.
authors.affiliation: Unidad de Cirugía de Hombro y Codo, Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: García-Coiradas
authors.affiliation: Unidad de Cirugía de Hombro y Codo, Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, España. Electronic address: yaizalopiz@gmail.com.
authors.forename: Y
authors.initials: Y
authors.lastname: Lópiz
authors.affiliation: Unidad de Cirugía de Hombro y Codo, Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, España.
authors.forename: F
authors.initials: F
authors.lastname: Marco
mesh_terms: D000368:Aged; D005260:Female; D015775:Fractures, Stress / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries; D012540:Scapula / Q000293:injuries* / Q000601:surgery
keywords: Acromion base fracture; Fracturas de estrés; Fracturas de la base del acromion; Fracturas de la espina de la escápula; Scapular spine fracture; Stress fracture