What are the predictors of scapula fractures in high-impact blunt trauma patients and why do we miss them in the emergency department?

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
M UzkeserM Işık

Abstract

To find out the predictors of scapula fractures in high-impact blunt trauma patients and the predictors of missing them in the emergency department (ED). This is a retrospective descriptive review of patients treated at a single hospital over a 3.5-year period. The study included 1,039 high-impact blunt trauma patients of any age. The patients were divided into two groups: patients with scapula fractures (the patient group) and others (the control group). The patient group was re-assessed into two subgroups: patients with and without missed scapula fractures. Logistic regression analysis was used to assess the predictors of a scapular fracture in the ED. The incidence of scapula fractures was 4%. The Injury Severity Scores (ISS) of the scapula fracture group were significantly higher than those of the control group (P < 0.0001). Patients with scapula fractures were significantly older (P < 0.001). Patients with scapular body fractures stayed for significantly longer in the intensive care unit (ICU) (P = 0.039) and their mean Abbreviated Injury Scale (AIS)face score was higher (P = 0.04) compared to scapular fractures without body parts. Scapula fractures were missed in 35.7% of patients. All bilateral scapula fractures were mis...Continue Reading

References

Jun 1, 1975·The Journal of Trauma·R J Imatani
Oct 1, 1988·AJR. American Journal of Roentgenology·R D Harris, J H Harris
Jan 1, 1974·Acta Orthopaedica Scandinavica·D Zdravkovic, V V Damholt
Oct 1, 1980·The Journal of Trauma·J P McGahanA Dublin
Oct 1, 1995·Acta Orthopaedica Scandinavica·R IdebergS Larsson
Oct 1, 1995·Annals of Emergency Medicine·N G StephensB A Bernstein
Feb 8, 2002·The Orthopedic Clinics of North America·Peter Alexander Cole
Dec 17, 2003·The Journal of Trauma·Veysi T VeysiPeter V Giannoudis
Jan 6, 2006·The Journal of Trauma·Brad WeeningMohit Bhandari
Feb 5, 2008·Injury·Ayman M A TadrosFikri M Abu-Zidan
Aug 20, 2008·São Paulo Medical Journal = Revista Paulista De Medicina·Javad SalimiBehzad Eftekhar
Dec 1, 2010·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M EmetZ Cakir

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Citations

Feb 26, 2013·International Orthopaedics·Michal TučekMartin Voldřich
Mar 30, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Thorben BrieseAndre Weimann
Aug 27, 2021·Clinical Practice and Cases in Emergency Medicine·Solomon SebtEric Leroux

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