Surgical treatment of a patient with a comminuted fracture of the scapula (clinical observations)
A. A. Prokhorov,
S. V. Novikov,
N. N. Karchebnyy,
A. N. Mironov,
M. A. Panin,
A. S. Petrosyan,
V. E. Dubrov https://doi.org/10.20340/vmi-rvz.2024.6.CASE.2
Abstract
Introduction. A comminuted fracture of the scapula with displacement of bone fragments can cause the development of severe post-traumatic deformation with persistent loss of function of the upper limb.
Objective – to present the results of surgical treatment of three patients with various fractures of the scapula.
Materials and methods. The analysis of surgical treatment of 3 patients of working age with comminuted fractures of the scapula with a dubious prognosis for the restoration of the function of the upper limb in the case of choosing a conservative treatment strategy was performed. After a preliminary analysis of the computed tomography data, the surgical technique protocol and the choice of implants were determined. Surgical treatment was carried out in the early post-traumatic period. The early postoperative period was uneventful and without complications in all cases. The follow-up period after surgery ranged from 6 weeks to 6 months.
Results. In all 3 cases, X-ray consolidation of fractures was noted, the return of the full function of the upper limb. The median on the DASH questionnaire was 11.7 points.
Conclusion. Based on the results of the proposed observations, it seems appropriate to evaluate the positive clinical, functional (complete recovery of the function of the upper limb) and radiological results (stable fixation, the process of fracture consolidation), despite a severe injury to the scapula, often leading to a permanent loss of working capacity and significantly limiting normal daily activities.
About the Authors
A. A. Prokhorov
Lomonosov Moscow State University;
City Clinical Hospital No. 17
Russian Federation
Competing Interests:
Russian Federation
Andrey A. Prokhorov, Postgraduate student, Faculty of Fundamental Medicine; traumatologist-orthopedist
1, Leninskie Gory, Moscow, 119991;
7, Volynskaya St., Moscow, 119620
Competing Interests:
The authors declare no competing interests
S. V. Novikov
City Clinical Hospital No. 17
Russian Federation
Competing Interests:
Russian Federation
Sergey V. Novikov, Cand. Sci. (Med.), Head of the Traumatology Department
7, Volynskaya St., Moscow, 119620
Competing Interests:
The authors declare no competing interests
N. N. Karchebnyy
City Clinical Hospital No. 17
Russian Federation
Competing Interests:
Russian Federation
Nikolay N. Karchebnyy, Cand. Sci. (Med.), Head of the Department of Emergency Traumatology and Orthopedics, Clinical Diagnostic Center of the Atrioventricular and Orthopedic Surgery Center
7, Volynskaya St., Moscow, 119620
Competing Interests:
The authors declare no competing interests
A. N. Mironov
City Clinical Hospital No. 31
Russian Federation
Competing Interests:
Russian Federation
Andrey N. Mironov, Head of the Traumatology Department
42, Lobachevsky St., Moscow, 119415
Competing Interests:
The authors declare no competing interests
M. A. Panin
City Clinical Hospital No. 17;
Peoples' Friendship University of Russia named after Patrice Lumumba
Russian Federation
Competing Interests:
Russian Federation
Mikhail A. Panin, Cand. Sci. (Med.), traumatologist-orthopedist, Department of Orthopedics; Associate Professor, Department of Traumatology and Orthopedics
7, Volynskaya St., Moscow, 119620;
6, Miklukho-Maclay St., Moscow, 117198
Competing Interests:
The authors declare no competing interests
A. S. Petrosyan
City Clinical Hospital No. 17
Russian Federation
Competing Interests:
Russian Federation
Armenak S. Petrosyan, Cand. Sci. (Med.), Head of the Orthopedics Department
7, Volynskaya St., Moscow, 119620
Competing Interests:
The authors declare no competing interests
V. E. Dubrov
Lomonosov Moscow State University
Russian Federation
Competing Interests:
Russian Federation
Vadim E. Dubrov, Dr. Sci. (Med.), Professor, Head of the Department of General and Specialized Surgery
1, Leninskie Gory, Moscow, 119991
Competing Interests:
The authors declare no competing interests
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For citations:
Prokhorov A.A., Novikov S.V., Karchebnyy N.N., Mironov A.N., Panin M.A., Petrosyan A.S., Dubrov V.E. Surgical treatment of a patient with a comminuted fracture of the scapula (clinical observations). Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2024;14(6):109-116. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.6.CASE.2
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