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Fırat Tıp Dergisi
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Evaluation of Thoracic Injuries Accompanying to Scapula Fractures in Trauma Patients
Evrim GÜL1, Muharrem ÇAKMAK2, Mehmet Çağrı GÖKTEKİN1, Yeliz GÜL3
1Fırat Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Elazığ, Türkiye
2Fırat Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Elazığ, Türkiye
3SBÜ Elazığ Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Elazığ, Türkiye

Objective: Scapular fractures are not a common pathology of thoracic trauma. Other systems should be carefully assessed in the presence of injury severity. In our study, we aimed to evaluate patients with scapular fractures that were uncommon in trauma patients and other comorbid injuries.

Material and Method: We retrospectively reviewed records of trauma patients that had scapular fracture applied to our clinic between 2012-2017.

Results: A total of 52 thoracic trauma patients with scapular fractures were evaluated. The mean age of the patients was 49.06 ± 18.42 (min-max: 14-82). Forty-six (88.46%) were male and 6 were female (11.54%). The most common mechanism of trauma in patients was in-car traffic accidents (n :21, 44.2%). The most frequent pathology accompanying the disease was rib fracture (n :23, 44.2%). The others were lung contusion (n :21, 40.4%), pneumothorax (n :13, 25%), clavicle fracture (n :10, 19.2%), lung laceration (n :5, 9.6%), hemothorax (n :4, 7.7%), sternum fracture (n :3, 5.8%), thoracic vertebra fracture (n :12, 23.1%), lumbar vertebra fracture (n :3, 5.8%) and pneumomediastinum (n :2, 3.8%). Eleven patients (21.1%) did not have any additional injuries within the thorax.

Conclusion: Whatever the cause of the thoracic trauma accompanying with scapuler fracture is, it is associated with the level of the trauma severity, the rate of the associated organ injury and the increase in mortality. These patients should also be evaluated for additional injuries within the thorax.


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