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Vojnosanitetski pregled
2015, vol. 72, br. 2, str. 181-184
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.2298/VSP1502181M


Hirurška fiksacija frakture sa dislokacijom vrata i glenoida lopatice - 22 godine praćenja
Clinic of Orthopaedics and Traumatology, Clinical Center Niš, Niš

e-adresa: mladenovicdmarko@gmail.com

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 kljucne 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.

Ključne reči

Reference

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