Scapula Case Studies

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Our search strategy initially yielded 904 articles out of which 614 were excluded as those dealt either with fractures other than the scapula fractures or other unrelated topics on the scapula. Further, there were 91 case reports, 11 case series with less than 7 patients, 12 articles describing operative approach to scapula, 19 reviews, 3 studies investigating the causes and incidence of scapular fractures and 39 articles without an abstract. The duplications, letters to the editor, fractures of scapula following reverse shoulder and articles on floating shoulder (124 articles) were excluded.
32 studies met the inclusion criteria, of these two were systematic reviews and one was a meta-analysis (only dealing with operative management), the other 29 articles were all case series (EBM level 4) (Figure 1). A
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Nine patients (11 fractures) were operated (8 males, 1 female). The age at presentation ranged from 19- 52 years, and the time of surgery was 1-15 days (mean 7 days). The follow up ranged from 12-77 months. The results were satisfactory in all patients. In contrast, Ada et al 1, have analysed the results of non-operative management of 16 patients with similar fractures and concluded that the results were non satisfactory in up to 50% of patients.

Fracture of coracoid with acromion
Anavian et al 3 analysed results of operative management for fractures involving both coracoid and acromion. In total, there were 26 patients (21 males, 5 females). The mean age at presentation was 36 (18- 67) years and the follow up data was available only for 13 patients. The follow up duration was 12 – 42 months, but there was no data on time of surgery. In addition the postoperative rehabilitation included active assisted and passive movements until 1 month. All patients (100%) had acceptable

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