Hirurška fiksacija frakture sa dislokacijom vrata i glenoida lopatice: 22 godine praćenja

  • Desimir Mladenovic Clinic of Orthopaedics and Traumatology, Clinical Center Niš, Niš, Serbia
  • Marko Mladenović Clinic of Orthopaedics and Traumatology, Clinical Center Niš, Niš, Serbia
  • Predrag Stojiljković Clinic of Orthopaedics and Traumatology, Clinical Center Niš, Niš, Serbia
  • Ivan Micić Clinic of Orthopaedics and Traumatology, Clinical Center Niš, Niš, Serbia
  • Saša Karalejić Clinic of Orthopaedics and Traumatology, Clinical Center Niš, Niš, Serbia
DOI: https://doi.org/10.2298/2567
Ključne reči: scapula||, ||skapula, thoracic injuries||, ||toraks, povrede, wounds and injuries||, ||povrede, orthopedic procedures||, ||ortopedske procedure, recovery of function||, ||funkcija, povratak,

Sažetak


Uvod. Većina preloma skapule posledica su dejstva sile jakog intenziteta i najčešće se sreću kod povređenih u saobraćajnim nesrećama ili pri padu sa visine. Oko 80–90% preloma skapule udruženo je sa drugim povredama (prelomi ključne kosti, povrede grudnog koša,  brahijalnog pleksusa i dr). Prikaz bolesnika. Prikazali smo bolesnika, starog 27 godina, sa prelomom skapule i povredom grudnog koša. Povredu je zadobio pritiskom mašine za presovanje zemlje u procesu proizvodnje cigle. Nakon radiološke dijagnostike, (radiografija, kompjuterizovana tomografija) potvrđen je prelom skapule sa velikom dislokacijom lateralnog dela. Prelom je lečen operativno zadnjim pristupom. Urađena je repozicija preloma i osteosinteza sa 2 Blauntove kopče. Prikazali smo funkcionalni rezultat 22 godine nakon povrede. Bolesnik je u radnom odnosu, izvodi sve pokrete u zglobu ramena bez bola uz izuzetnu mišićnu snagu ramenog pojasa (ocena 5 od strane lekara). Osteosintetski materijal nije izvađen jer ne smeta bolesniku u izvođenju punih pokreta. Zaključak. Prelome skapule sa dislokacijom treba rešavati operativno, otvorenom repozicijom i osteosintezom.

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Objavljeno
2015/07/08
Broj časopisa
Vol. 72 Br. 2 (2015)
Rubrika
Prikaz bolesnika