scapula body fracture
Introduction
Introduction to scapula fracture The scapula is surrounded by muscles, and the fracture is rare, accounting for about 0.2% of the total body fracture, and it occurs mostly in the scapula body and neck, often as part of multiple injuries. basic knowledge The proportion of the disease: the incidence of this disease in trauma patients is about 0.0065% Susceptible people: no special people Mode of infection: non-infectious complication:
Cause
Cause of scapular body fracture
(1) Causes of the disease
Mostly caused by strong direct violence or firearm injuries.
(two) pathogenesis
Scapular body fractures are mainly caused by direct violence. For example, heavy objects or firearm injuries directly damage the scapula body. Most of them are comminuted fractures. Sometimes there are transverse or oblique fractures. Because of the muscle protection before and after the scapula, there is no obvious fracture. Position, but pay attention to the presence of rib fractures or chest organ injuries.
Prevention
Scapular body fracture prevention
Prevent violent injuries.
Complication
Scapular body fracture complications Complication
The range of motion of the affected shoulder is limited, especially in the exhibition.
Symptom
Scapular body fracture symptoms Common symptoms Condensed shoulder pain Shoulder joint activity restricted
Pain
Limited to the scapula, the shoulder joint activity is particularly obvious, and the tender part is more consistent with the fracture line.
2. Swelling
It is necessary to find the bilateral comparison, the degree depends on the type of fracture. The comminuted fracture is more obvious due to more bleeding, swelling, and even the subcutaneous can have ecchymosis, while the general fracture is more without swelling.
3. Limited joint activity
The range of motion of the affected shoulder is limited, especially in the outreach; and it is accompanied by severe pain and refuses to move.
Muscle spasm
Including the supraspinatus muscle, the infraspinatus muscle and the subscapularis muscle, and other symptoms such as continuous contraction-like changes due to fractures and hematoma stimulation.
Examine
Examination of scapula fractures
X-ray examination, CT scan and CT three-dimensional reconstruction can clearly show the scapular fracture.
Diagnosis
Diagnosis and diagnosis of scapula fracture
History of trauma
Mostly caused by direct violence.
2. Clinical manifestations
Swelling of the scapula, pain, tenderness and movement disorders of the shoulder joints.
3. Imaging examination
Clear X-ray film (front and back position, lateral position and tangential position) are required. Most of them can be diagnosed. CT scan can be used for patients with difficult diagnosis. In the imaging examination, attention should be paid to the presence or absence of chest injury. Therefore, Regular and clear chest radio is indispensable.
