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Radiographic correlation of clinical shoulder deformity and patient perception following scapula fracture

Injury Apr 27, 2020

Tatro JM, Anderson JP, McCreary DL, et al. - This study was sought to evaluate clinical deformity, examine associations of these novel measures with defined radiographic measures of fracture displacement and with the individuals’ reported perception of their deformity. Researchers included prospectively enrolled individuals who had undergone standardized questioning regarding their perception of the deformity. They applied radiographsto assess glenopolar angle medial/lateral displacement, and angulation of the displaced scapula fracture. They estimated novel assessment of clinical deformity (shoulder area, shoulder angle and shoulder height difference). This research analyzed a total of 51 individuals (39 operative) within 30 days of injury. The results showed that individuals with scapula fracture do perceive deformity, and a significant association was found between the individuals’ perception, radiographic and clinical measurements of deformity after scapula fracture. Compared with baseline measurements, all measures statistically improved in individuals with operative treatment. In the scapula fracture patient, this study reinforces the importance of the clinicians’ clinical examination and observation of shoulder deformity.

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