title: [POKING REDUCTION TREATMENT OF DISPLACED SCAPULAR NECK FRACTURE WITH SHOULDER ARTHROSCOPY-ASSISTED SURGERY].
abstract: OBJECTIVE
  To discuss the effectiveness of Poking reduction with shoulder arthroscopy-assisted surgery for displaced scapular neck fracture.
  
  
  METHODS
  Between January 2009 and January 2012, 9 cases of displaced scapular neck fracture underwent shoulder arthroscopy-assisted surgery for Poking reduction treatment. Of 9 cases, 6 were men, and 3 were women, aged 21-54 years (mean, 39 years). The causes were traffic accident injury in 7 cases, falling injury from height in 1 case, and hurt injury in 1 case. The shoulder abduction, flexion, and external rotation were obviously limited. X-ray films showed all cases had obvious displaced scapular neck fracture. Three-dimensional reconstruction of CT showed a grossly displaced of fracture. The time of injury to surgery was 4-27 days (mean, 11 days).
  
  
  RESULTS
  Patients obtained healing of incision by first intension, without infection, neurovascular injury, or other surgery-related complications. All patients were followed up 19- 31 months (mean, 23 months). X-ray films showed scapular neck fractures healed from 7 to 11 weeks (mean, 8 weeks). At last follow-up, the shoulder abduction, flexion, and external rotation activity were improved significantly when compared with ones at preoperation (P < 0.05); the shoulder Constant score, American Shoulder and Elbow Surgenos (ASES) score, and Rowe score were significantly better than preoperative scores (P < 0.05).
  
  
  CONCLUSIONS
  The reduction of displaced scapular neck fracture is necessary, and arthroscopic Poking reduction and fixation for displaced scapular neck fracture can reconstruct the shoulder stability and reduce complications.
authors.forename: Feng
authors.initials: F
authors.lastname: Qu
authors.forename: Bangtuo
authors.initials: B
authors.lastname: Yuan
authors.forename: Wei
authors.initials: W
authors.lastname: Qi
authors.forename: Junliang
authors.initials: J
authors.lastname: Wang
authors.forename: Xuezhen
authors.initials: X
authors.lastname: Shen
authors.forename: Jiangtao
authors.initials: J
authors.lastname: Wang
authors.forename: Gang
authors.initials: G
authors.lastname: Zhao
authors.forename: Yujie
authors.initials: Y
authors.lastname: Liu
mesh_terms: D001182:Arthroscopy; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D012399:Rotation; D012540:Scapula; D012782:Shoulder; D012783:Shoulder Dislocation / Q000601:surgery*; D000070599:Shoulder Injuries; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome