glenopolar angle scapula fracturecasamorati perfume italica

This represents the high energy nature of injury to the scapula. Our aim was to establish reliability of GPA on plain radiograph in patients with extraarticular scapular neck fractures. Greater than 45 degrees of angulation of the glenoid. Introduction Rare : 3-5% of shoulder girdle injuries Requires high energy trauma, e.g. The glenoid fossa forms the articular surface of the scapula and connects to the scapular body via the neck of the scapula. The glenopolar angle (GPA) is. Complete acromioclavicular dislocation and scapula fracture displaced greater than or equal to 10 mm Both clavicle and scapula displaced greater than or equal to 10 mm . The International Journal of Medical Robotics and Computer Assisted Surgery > 18 > 2 > n/a - n/a . La Bibliothèque Virtuelle de Santé est une collection de sources d'information scientifiques et techniques en santé, organisée et stockée dans un format électronique dans les pays de la Région d'Amérique Latine et des Caraïbes, universellement accessible sur Internet et compatible avec les bases de données internationales. Historically treated with benign neglect, scapula fractures were thought to heal without adverse seq. Plain radiographs still play a role in management of extraarticular scapular neck fractures. Scapular Fractures SSSC Goss, JOT 1993 The SSSC is a bone-soft-tissue ring at the end of superior and inferior bone strut Glenoid process, . Our aim was to establish reliability of GPA on plain radiograph in patients with extraarticular scapular neck fractures. ), or their login data. A glenopolar angle ranging from 30° to 45° is considered normal. The Infona portal uses cookies, i.e. Glenopolar angle (GPA) is one of the radiograph measurements that is used to determine the necessity for surgery. "Glenoplasty in the management of recurrent shoulder dislocations". Arch Orthop Trauma Surg. 1 ). Glenopolar angle less than or equal to 22° 6. Can the Glenopolar Angle Be Used To Predict Outcome & Treatment Of The Floating Shoulder? The glenopolar angle was 3°; three-dimensional computerized tomography image showed the scapular neck fracture angulation was up to 43° (C); post-operative follow-up radiographs revealed the glenopolar angle was 36° (D . Presenting radiographs will be assessed according to a tripartite measurement protocol specifically quantifying: 1) glenoid medialization, 2) glenopolar angle and 3) scapular shortening, each as either absolute values or a ratio to the contralateral scapula. - most common scapular frx are frx of the body, followed by the neck, glenoid, and acromion; - associated injuries: seen in upto 80-90% of patients; - pulmonary injuries and pneumothorax (23%) and pulmonary contussion; - clavicle frx (23%), which represents a floating shoulder . The association between scapular fractures and other significant injuries in the context of high-energy trauma has been highlighted, but it is the history of the mechanism of injury that should primarily alert the surgeon, . It is common to have fractures with multiple deformities/displacements and more than one indication noted above may be seen in various combinations. Fractures of the scapula may be associated with high-energy mechanisms in the young, with significant associated injuries to the thorax, spine, head and abdomen. 2001;212(6):313-6. Methods BackgroundDiscrete radiographic thresholds of scapular fracture deformity proposed as a guide for when to utilize operative treatment are a matter of debate. Neer I projection, or the true anteroposterior radiograph of the scapula, is used to assess the glenohumeral joint space, displacement of the glenoid in relation to the lateral border of the scapula and to measure the glenopolar angle (GPA).In this projection, the scapular plane is parallel to the X-ray cassette. Measurement of lateral border offset (LBO), angulation, glenopolar angle (GPA), and translation of the scapula have become accepted methods forming a common language to quantitatively describe fracture displacement and deformity. Materials and methods: The GPA was measured with scapulae at 0°and at 20°and 30°of internal and external rotation. a. To analyse the glenopolar angle (GPA) at different inclinations of the scapula using 3D CT, to test the hypothesis that the result could change the indication from conservative treatment to surgery. The present review article was designed to . × Close. Fractures of the scapula are rare and usually associated with high-energy trauma. Anteroposterior (A) and lateral (B) radiographs of the patient with ipsilateral fracture of the clavicle and the scapula neck before the treatment. 2018: Five to Ten-Year Outcomes of Operatively Treated Scapular Fractures. 48 Download : Download full-size image Fig. Surgical Technique Implants The aim of this study is to determine normal glenopolar angle (GPA) values on bone specimens of the scapula and compare them with various radiological views and CT examination. [ 1] as the angle between the line connecting the upper and lower poles of the glenoid and the line connecting the upper pole of the glenoid with the inferior scapular angle (Fig. The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc. Scapula neck fractures are rare injuries, leaving several treatment options. Surgical indications included glenoid medialization >1.5 cm and/or severe angular deformity defined as a flexion deformity >25° or a glenopolar angle <25°. Makoplasty medial unicondylar knee replacement: Correction or postoperative angle matters? 15.8. . et al. Conservative Treatment of Scapular Neck Fracture: The effect of stability and glenopolar angle on clinical outcome. The glenopolar ang le (GPA) was originally described by Bestard et al. Furthermore, the literature is controversial regarding surgical indications and rationale for treatment. Scapula neck fractures are rare injuries, leaving several treatment options. Objective: Displaced ipsilateral fractures of the clavicle and the glenoid neck are usually the result of high-energy trauma. Glenopolar angle (GPA) is one of the radiograph measurements that is used to determine the necessity for surgery. . Methods References Bestard, E.A. Fractures of The Scapula: Long-term Results After Conservative . For instance,. Glenopolar angle (GPA) is one of the radiograph measurements that is used to determine the necessity for surgery. strings of text saved by a browser on the user's device. b. In exclusively extra-articular scapula fractures, the most relevant information for the choice of treatment are shortening or significant involvement of the glenopolar angle . The glenopolar angle is mainly used within the field of scapular surgery (for example, due to a scapular neck fracture). Scapula Fractures are uncommon fractures to the shoulder girdle caused by high energy trauma and associated with pulmonary injury, head injury, and increased injury severity scores. MVA 10% mortality rate due to associated injuries 80% of patients are male Ossification Forms in cartilage by 6th week Primary ossification centre at glenoid angle by 8 The glenopolar angle (GPA) is a measurement of the rotational malalignment of the glenoid about an anteroposterior (AP) axis perpendicular to the scapular plane [ 12 ]. The scapula serves as an attachment site for 17 muscles, which facilitate movement and form a functional soft-tissue envelope for the shoulder girdle [ 6 ]. Glenopolar angle Correlates with outcome < 20 ° is bad Slide 59 come D GPA w × = × tcome Slide 60 Glenopolar Angle. [ 1] as the angle between the line connecting the upper and lower poles of the glenoid and the line connecting th e upper pole. Glenopolar angle (<22 degrees) on true Grashay AP; However, since scapular fractures are often associated with other high-energy trauma, any operative management of scapular fracture should be delayed until the patient is stable. A reliable . The objective of this study is to evaluate the association of the glenopolar angle (GPA) with the clinical outcome of the floating shoulders.. Methods: Patients are not blinded or randomized. Standardized markers for operative treatment are a decreased glenopolar angle ≤22°, lateral border offset (LBO) of the glenoid ≥20 mm, angular deformity ≥45°, or LBO ≥15 mm plus angular deformity ≥35°.If operative treatment is not performed before union, the fracture heals malaligned with possible . The unfavorable scapular anatomy, combined with the complexity of the approaches for fracture fixation, make the treatment challenging, even for experienced surgeons. The glenopolar angle (GPA) was originally described by Bestard et al. Scapular neck fracture: the influence of permanent malalignment of the glenoid neck on clinical outcome. The glenopolar angle is calculated by drawing a line from the inferior to the superior pole of the glenoid fossa and another line from the superior pole to the apex of the scapula body's . Scapula fractures are of increasing interest as a result of new clinical and scientific discovery. Scapular Fractures. ≥ 22° glenopolar angle ≥ 45° angulation ≥ 15 mm medialization and ≥30° angulation Double lesions of the superior shoulder suspensory complex in which each lesion is displaced ≥ 10mm. Intra-articular glenoid fractures, in combination with scapula neck and/or body involvement, were also offered operative treatment. Abhishek Kumar, Chih‐Hung Hung, Shang‐Lin Hsieh, Chien‐Chung Kuo, more. 15 View 2 excerpts, references background Open reduction and internal fixation should be considered for displaced intra-articular glenoid fractures with more than 3-5 mm step-off. This may be achieved by rotating the patient with his/her back to the X-ray . The purpose of the present study was to. Scapular fractures constitute only 0.4% to 0.9% of all fractures and approximately 3% to 5% of all fractures of the shoulder girdle.3 Fractures of the scapular neck account for 7% to 25% of scapular fractures.1,6,13 Although anatomic neck fractures (ANFs) of the scapula have been documented, the existence of ANF is controversial.4,15 Bartoníček et al4 verified the existence of ANF by . Diagnosis can be made with plain radiographs and CT studies are helpful for fracture characterization and surgical planning. These factors should be considered in the design of a unified classification system that is reliable and clinically applicable for both intra- and extra-articular scapula . Our aim was to establish reliability of GPA on plain radiograph in patients with extraarticular scapular neck fractures. Normal glenopolar angle is 30-45°, and a glenopolar angle of up to 20-22°, in isolation or in combination with other shoulder girdle injuries, is used as a relative indication for surgery to avoid long-term pain, weakness, and reduced capacity for activities of daily living ( 1, 43, 44 ). A Biblioteca Virtual em Saúde é uma colecao de fontes de informacao científica e técnica em saúde organizada e armazenada em formato eletrônico nos países da Região Latino-Americana e do Caribe, acessíveis de forma universal na Internet de modo compatível com as bases internacionais. - Discussion: - see anatomy of the scapula. The glenopolar angle assesses the rotational alignment of the glenoid and may provide prognostic information and aid the management of scapula fractures and the accuracy of shoulder imaging employed in routine clinical practice is assessed. of scapula fractures, there are not yet w ell-defined measurement techniques for determining medialisation, lateralisation, tr anslation, or angular deformities [7-9]. The area of erythema at the inferior scapular angle marks the site where pressure was applied.Figure 4. . Standardized markers for operative treatment are a decreased glenopolar angle ≤22°, lateral border offset (LBO) of the glenoid ≥20 mm, angular deformity ≥45°, or LBO ≥15 mm plus angular deformity ≥35°.If operative treatment is not performed before union, the fracture heals malaligned with possible . They also occur in the elderly from low-energy mechanisms, and the commonest associated injury with this group is the proximal humerus fracture. Scapular fractures may be associated with high-energy trauma and can be a marker for non-orthopaedic injuries, but even with displacement, scapular fractures usually do not require surgery. Scapular fractures are uncommon injuries generally resulting from high-energy blunt . Course of double fixation. (1986). Glenopolar angle of less than 20 degrees. More recently the glenopolar angle has been added to the list and shows promise, . Methods: Scapular fractures account for approximately 0.4-1% of all fractures, . Displaced double lesions of the superior shoulder suspensory complex . Such fractures are relatively infrequent for two reasons: (1) the scapula lies over the posterior chest wall and is protected by the rib cage and the thoracic cavity anteriorly and a thick layer of soft tissues posteriorly, and (2) the relative mobility of the scapula allows considerable dissipation of traumatic forces. Contemporary Orthopeadics 12, 47. 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