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肩胛骨骨折的手术治疗

Hits: 2498 Download times: 1309 Received:December 27, 2007

作者	Author	单位	Unit	E-Mail
张功林	ZHANG Gong-lin	台州骨伤医院，浙江温岭 317500	Orthopaedics and Traumatology Hospital of Taizhou,Wenling 317500,Zhejiang,China
章鸣	ZHANG Ming	台州骨伤医院，浙江温岭 317500	Orthopaedics and Traumatology Hospital of Taizhou,Wenling 317500,Zhejiang,China

期刊信息：《中国骨伤》2008年21卷，第4期，第313-315页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

肩胛骨骨折相对少见，多因高能量创伤致肩背部遭受直接暴力所致。常伴有合并伤，高达80%～95%,应注意检查臂丛神经、血管以及同侧肢体损伤。骨折治疗的目的是恢复肩关节无痛性有效的肩关节活动功能。移位性关节盂骨折﹑肩部悬吊复合体联合损伤﹑浮肩损伤以及移位性肩胛颈骨折均应行手术治疗，内固定必须牢固可靠，能耐受早期肩关节活动。康复训练是手术成功的重要因素，术后患者应坚持肩关节活动至骨折牢固愈合。

[关键词]:肩胛骨骨折骨折固定术，内外科手术

Surgical treatment of scapular fractures

Abstract:Scapular fracture is not very common,which typically occur in patients who have sustained high-energy direct injury to the shoulder. Eighty to ninety-five percent of patients with scapular fractures have been associated with multi-injuries. The physical examination should uncover injuries to the brachial plexus,axillary artery as well as ipsilateral musculoskeleton. The goal of treatment for scapular fractures is to restore an effective and functional joint without pain. Displaced intra-articular glenoid fracture,double disruptions of the shoulder suspensory complex,floating shoulder injury,significant angulation and displacement of the scapular neck should undergo surgical treatment. Fracture fixation must be stability that allows early motion of shoulder. After operation,patients should insist on functional exercises of shoulder until union of fracture was solid.

KEYWORDS:Scapula Fractures Fracture fixation,internal Surgical procedures,operative

引用本文，请按以下格式著录参考文献：

中文格式:	张功林,章鸣.肩胛骨骨折的手术治疗[J].中国骨伤,2008,21(4):313~315
英文格式:	ZHANG Gong-lin,ZHANG Ming.Surgical treatment of scapular fractures[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(4):313~315

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