Grau L, Chen K, Alhandi AA, Goldberg B. Novel technique for a symptomatic subscapularis herniation through a scapular defect. World J Orthop 2017; 8(2): 208-211 [PMID: 28251072 DOI: 10.5312/wjo.v8.i2.208]
Corresponding Author of This Article
Ali A Alhandi, MBBS, Department of Orthopaedic Surgery, University of Miami, Jackson Memorial Hospital, 1611 NW 12th Ave, Miami, FL 33136, United States. ali.alhandi@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Feb 18, 2017; 8(2): 208-211 Published online Feb 18, 2017. doi: 10.5312/wjo.v8.i2.208
Novel technique for a symptomatic subscapularis herniation through a scapular defect
Luis Grau, Kevin Chen, Ali A Alhandi, Benjamin Goldberg
Luis Grau, Ali A Alhandi, Department of Orthopaedic Surgery, University of Miami, Jackson Memorial Hospital, Miami, FL 33136, United States
Kevin Chen, Benjamin Goldberg, Department of Orthopaedic Surgery, University of Illinoi at Chicago, Chicago, IN 60601, United States
Author contributions: All the authors contributed to the paper.
Institutional review board statement: The case report study met the criteria for IRB exemption.
Informed consent statement: Verbal consent was obtained from the patient prior to manuscript writing.
Conflict-of-interest statement: Authors have no conflict of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ali A Alhandi, MBBS, Department of Orthopaedic Surgery, University of Miami, Jackson Memorial Hospital, 1611 NW 12th Ave, Miami, FL 33136, United States. ali.alhandi@gmail.com
Telephone: +1-626-7807552
Received: August 8, 2016 Peer-review started: August 10, 2016 First decision: September 12, 2016 Revised: September 22, 2016 Accepted: November 21, 2016 Article in press: November 22, 2016 Published online: February 18, 2017
Abstract
Fractures of the scapula are rare and have been reported to account for only 1% of all fractures and 3%-5% of upper extremity fractures. Several studies have reported successful outcomes with non-operative treatment of scapula fractures. Although non-operative treatments are successful in a very high percentage of patients, very few cases of non-union of scapular body fractures have been reported. In our review of the literature, we found two case reports of scapular body fractures developed into non-unions. In both of these cases, open reduction and internal fixation with reconstruction plates and bone graft was successful at eliminating pain and restoring function. This is a case report of a patient with a symptomatic, extra-articular scapular body defect from a non-union that was treated successfully with an acellular dermal extracellular matrix and bone graft using a novel technique
Core tip: Scapular fracture complicated by non-union requiring surgical intervention is extremely rare and seldom reported in the literature. This study demonstrates successful surgical treatement of a symptomatic scapular body defect using a novel technique that has never been described for this condition.
