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Chinese Journal of Joint Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (05): 615-618. doi: 10.3877/cma.j.issn.1674-134X.2019.05.017

Special Issue:

• Clinical Experience • Previous Articles     Next Articles

Effect of surgical timing of floating shoulder injury on recovery of shoulder joint function

Wentao Zhang1,(), Xun Chen1, Tao Song1, Fei Cong1, Yufei Wang1, Shihui Zhang1, Zirui Yu1   

  1. 1. Othopedic department of microsurgery, Xi′’an Honghui Hospital, Xi’an 710054, China
  • Received:2018-05-10 Online:2019-10-01 Published:2019-10-01
  • Contact: Wentao Zhang
  • About author:
    Corresponding author: Zhang Wentao, Email:

Abstract:

Objective

To investigate if the timing of scapular neck fracture and ipsilateral clavicle fracturewill affect the recovery of shoulder function.

Methods

A retrospective analysis of patients with scapular neck fractures and ipsilateral clavicle fractures who underwent surgery in the orthopedic department of microsurgery of Xian Honghui Hospital from January 2016 to December 2017 was divided into two groups according to whether the surgical timing after the injury was more than 10 days. The shoulder joint function, Herscovici function score, and shoulder joint complications were compared by non-parametric tests and independent sample t-test between the two groups after one year of surgery.

Results

A total of 28 patients were included, 17 patients in the early surgery group and 11 patients in the delayed surgery group. The shoulder function (Z=-1.715) and Herscovici function scores(t=-1.286) of the two groups were basically the same after one year of operation, and the differences were not statistically significant (P>0.05). After one year of follow-up, one case of shoulder abduction was limited in the early operation group, two cases of shoulder abduction limitation and one case of arthritis in the extended operation group.

Conclusion

The early or delayed surgery for treatment of scapular neck fracture and ipsilateral clavicle fracture with simple clavicle internal fixation, may not affect the shoulder function recovery.

Key words: Shoulder fractures, Scapula, Clavicle, Recovery of function

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