Open Reduction and Plating of Scapula and Acromion Fracture with Modified Judet Approach


Authors : Shangeetha T; MohdAsihin MA; Sree RL; Kamarul Al Haqq AG

Volume/Issue : Volume 7 - 2022, Issue 7 - July

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3pv2VD8

DOI : https://doi.org/10.5281/zenodo.7013206

Abstract : - A percentage of 0.5% of all fractures are found to be scapular fractures occurring primarily in young to middle aged males. Traditionally, these fractures are results of high energy trauma and highly associated with life-threatening injuries as well as poly traumatized patients. Most common scapula fractures are extra-articular (scapula body or glenoid neck fractures) which has the incidence rate of 62% - 98%. Extraarticular scapular fractures treated operatively, reported good functional outcomes based on the DASH scoring system and has lower rate of complications. The standard surgical approach to plate scapula fractures is classic judet approach, however we are reporting a case of extraarticular scapula fracture and acromion fracture internal fixation using a modified judet approach. Modified judet approach was used to plate the scapula and acromion in view of, this approach allow surgical approach to body of scapula and acromion with minimal muscular dissection. Itscrucial to achieve a good functional outcome of dominant hand by preserving the infraspinatus muscle and strength in external rotation of shoulder joint to aid in rehabilitation and faster recovery postoperatively.

- A percentage of 0.5% of all fractures are found to be scapular fractures occurring primarily in young to middle aged males. Traditionally, these fractures are results of high energy trauma and highly associated with life-threatening injuries as well as poly traumatized patients. Most common scapula fractures are extra-articular (scapula body or glenoid neck fractures) which has the incidence rate of 62% - 98%. Extraarticular scapular fractures treated operatively, reported good functional outcomes based on the DASH scoring system and has lower rate of complications. The standard surgical approach to plate scapula fractures is classic judet approach, however we are reporting a case of extraarticular scapula fracture and acromion fracture internal fixation using a modified judet approach. Modified judet approach was used to plate the scapula and acromion in view of, this approach allow surgical approach to body of scapula and acromion with minimal muscular dissection. Itscrucial to achieve a good functional outcome of dominant hand by preserving the infraspinatus muscle and strength in external rotation of shoulder joint to aid in rehabilitation and faster recovery postoperatively.

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