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VOLUME 55 , ISSUE 2 ( April-June, 2021 ) > List of Articles

Original Article

Epidemiology of Scapula Fracture at a Level 1 Trauma Center in North India: A Pilot Study

Deepak Kumar, Karan Gupta, Devendra K Chouhan, Mandeep Singh Dhillon

Keywords : Age distribution, CT diagnostics, Epidemiology, Incidence, Scapula fracture, Shoulder girdle injury, Trauma centers

Citation Information : Kumar D, Gupta K, Chouhan DK, Dhillon MS. Epidemiology of Scapula Fracture at a Level 1 Trauma Center in North India: A Pilot Study. J Postgrad Med Edu Res 2021; 55 (2):74-76.

DOI: 10.5005/jp-journals-10028-1409

License: CC BY-NC 4.0

Published Online: 00-06-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: We did this study as a pilot project to plan the future research work in the field, with the aim to study the incidence and epidemiology of scapular fractures. Results of the study would be helpful in identifying the mass impact of the injury to the trauma victim and laying down the training curriculum. Materials and methods: It was a cross-sectional study from July 1, 2018, to December 31, 2018; all patients presented to our level 1 trauma center with polytrauma and shoulder injuries were screened for fracture of the scapula. The demographic details, mode and mechanism of injury, associated injury, severity, and fracture pattern of all patients with scapula fracture were recorded. Patients were evaluated for concomitant injuries. Results: Out of total 1,730 patients presenting to the Advanced Trauma Center, PGIMER, Chandigarh, between July 2018 and December 2018, 44 (2.3%) patients were diagnosed with scapular fractures. Total 63.4% (28) of patients sustained various associated injuries. Clinical significance: Results of this study have raised the awareness that fractures of the scapula are on the rise compared to what was thought previously. Conclusion: Our study mandates the need of more dedicated screening methodology at the busy trauma center, which could reduce the chances of missed scapular fracture. Moreover, we could be able to identify more frequent fracture patterns and area of research specific to our setting.


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  1. Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury 2006;37(8):691–697. DOI: 10.1016/j.injury.2006.04.130.
  2. Tuček M, Bartoníček J, Klika D, et al. Epidemiology of scapular fractures. Acta-Orthop Belg 2017;83:8–15.
  3. Ada JR, Miller ME. Scapular fractures. analysis of 113 cases. Clin Orthop Relat Res 1991;269:174–180.
  4. Armstrong CP, Van der Spuy J. The fractured scapula: importance and management based on a series of 62 patients. Injury 1984;15(5):324–329. DOI: 10.1016/0020-1383(84)90056-1.
  5. Thompson DA, Flynn TC, Miller PW, et al. The significance of scapular fractures. J Trauma 1985;25(10):974–997. DOI: 10.1097/00005373-198510000-00008.
  6. Cole PA, Gauger EM, Schroder LK. Management of scapular fractures. J Am Acad Orthop Surg 2012;20(3):130–141. DOI: 10.5435/JAAOS-20-03-130.
  7. Goss TP. Fractures of the glenoid cavity. J Bone Joint Surg 1992;74(2):299–305. DOI: 10.2106/00004623-199274020-00019.
  8. Anavian J, Gauger EM, Schroder LK, et al. Surgical and functional outcomes after operative management of complex and displaced intra-articular glenoid fractures. J Bone Joint Surg Am 2012;94(7):645–653. DOI: 10.2106/JBJS.J.00896.
  9. Cole PA, Gauger EM, Herrera DA, et al. Radiographic follow-up of 84 operatively treated scapula neck and body fractures. Injury 2012;43(3):327–333. DOI: 10.1016/j.injury.2011.09.029.
  10. Transport Research Wing. Ministry of road transport and highways. road accidents in India 2017. New Delhi: Government of India, Ministry of road transport & highways transport research wing, [cited July, 2018]. Available from: https://morth.nic.in/sites/default/files/Road_Accidents_in_India_2017.pdf.
  11. Ideberg R. Fractures of the scapula involving the glenoid fossa Bateman JE, Welsh RP, ed. Surgery of the shoulder. Philadelphia: Decker; 1984. pp. 63–66.
  12. Brown C, Elmobdy K, Raja AS, et al. Scapular fractures in the pan-scan era. Acad Emerg Med 2018;25(7):738–743. DOI: 10.1111/acem.13377.
  13. Launonen AP, Laitinen MK, Sumrein BO, et al. Trends in scapular fractures: a nationwide 17-year study in Finland. JSES Int 2019;4(1):59–62. Published 2019 20th December 10.1016/j.jses.2019.10.111.
  14. Ideberg R, Grevsten S, Larsson S. Epidemiology of scapular fractures. incidence and classification of 338 fractures. Acta Orthop Scand 1995;66(5):395–397. DOI: 10.3109/17453679508995571.
  15. Schandelmaier P, Blauth M, Schneider C, et al. Fractures of the glenoid treated by operation. A 5- to 23-year follow-up of 22 cases. J Bone Joint Surg 2002;84-B(2):173–177. DOI: 10.1302/0301-620X.84B2.0840173.
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