title: Outcome Analysis of Intra-Articular Scapula Fracture Fixation with Distal Radius Plate: A Multicenter Prospective Study.
abstract: BACKGROUND
  Scapula fractures occur in approximately 1% of all fractures and constitute about 3% - 5% of all injuries of the shoulder joint.
  
  
  OBJECTIVE
  This study aimed to evaluate the clinical outcomes of 20 surgically treated patients with displaced glenoid fractures after stabilization with distal radius plate.
  
  
  METHODS
  Between 2012 and 2015, at 2 centers (HMCH & SHCE) of Bhubaneswar Odisha, we stabilized 20 scapular intra-articular fractures surgically with distal radius locking plate and studied the outcome of the surgeries. The outcome of the 20 fractures was determined using the Constant and Murley score. Both shoulders were assessed and the score on the injured side was given as a percentage of that on the uninjured side.
  
  
  RESULTS
  The median score was 88% (mean 65%, range 30 to 100). The median score for strength was 21/25 (mean 19, range 0 to 25) and that for pain 11/15 (mean 11, range 5 to 15). The median functional score was 16/20 (mean 15, range 0 to 20). The mean range of active abduction of the shoulder was 135° (20 to 180), the mean range of flexion 138° (20 to 180) and the mean range of external rotation 38° (0 to 100). Five patients showed excellent result; 11 patients showed good result; three patients showed fair result and one patient had poor outcome according to the Constant-Murley score. A superficial infection settled with antibiotics after operation in one patient whose score at final follow-up was 96%. In one patient, delayed healing was reported because of infection. One patient with stiffness of the shoulder at six weeks underwent manipulation under anesthesia with a follow-up score of 81%.
  
  
  CONCLUSIONS
  Various fixation modalities have been described in the literature, however fixation of intra-articular fracture of glenoid with distal radius locking plate for articular reconstruction in the presented series provides good functional outcome with early restoration of the range of motion of the shoulder.
authors.affiliation: Department of Orthopedics, Hi-Tech Medical College & Hospital, Bhubaneswar, India.
authors.forename: Ranajit
authors.initials: R
authors.lastname: Panigrahi
authors.affiliation: Department of Orthopedics, Hi-Tech Medical College & Hospital, Bhubaneswar, India.
authors.forename: Divya
authors.initials: D
authors.lastname: Madharia
authors.affiliation: Department of Orthopedics, Hi-Tech Medical College & Hospital, Bhubaneswar, India.
authors.forename: Dibya Singha
authors.initials: DS
authors.lastname: Das
authors.affiliation: Department of Orthopedics, Hi-Tech Medical College & Hospital, Bhubaneswar, India.
authors.forename: Saswat
authors.initials: S
authors.lastname: Samant
authors.affiliation: Department of Orthopedics, Hi-Tech Medical College & Hospital, Bhubaneswar, India.
authors.forename: Manas Ranjan
authors.initials: MR
authors.lastname: Biswal
keywords: Distal Radius Plate; Fall From Height; Intra Articular Glenoid; Intra Articular Scapula; Scapula Fracture; Trauma Glenoid