scapular fracture classification and management

Video Description

-Glenoid and scapular fractures are one of the rarest farctures in upper limb. in this lecture we willdemonestrate how scapular fracture is classified, what radiological parameters of scapular fracture and how to manage scapular fracture.
-Ragiological parameters are: lateral border offset (medialization), Angular deformity in scapular y, Glenopolar angle and Double lesion to the SSSC(clavicle fracture and scapula neck fracture).
-DIFFERENTIAL DIAGNOSIS: do not forget Scapulothoracic dissociation
-NONOPERATIVE MANAGEMENT: Most (over 90%) scapular fractures can be treated nonoperatively.
-Surgical indications:Rim fractures: 25% , an articular step-off of 5 mm or more, failure of the humeral head to lie in the center of the glenoid cavity,Anatomic neck fractures, Glenoid neck fractures with more than 40 degrees of angulation in the coronal or sagittal plane,Lateral border offset 20 mm, Angular deformity 45 degrees , Glenopolar angle (GPA) 22 degrees and Displaced double lesions of the superior shoulder suspensory complex (SSSC)

-Approaches: Modified judet (workhorse). Classic Judet. Minimodified judet. Minimally invasive. Deltopectoral superior approach

-orthopedic surgery lecture