Background: Scapular fractures are among the orthopedic injuries, which are associated with other injuries, such as lung injuries. This study aimed to evaluate the prevalence of lung injuries associated with scapular fractures in traumatic patients referred to a main trauma center in the south of Iran. Methods: The present retrospective cross-sectional study was conducted from April 2016 to June 2019 on adult traumatic patients, who were referred to one of the main trauma centers in the south of Iran, and their data were recorded in the hospital information system. The patients with chest computed tomography, and those whose scapula fractures were reported and confirmed by a radiologist were included in this study. All patients' data were extracted from their medical files and then analyzed. Results: A total of 100 patients were enrolled, and the majority (78%) of the cases were male. The mean±SD age of the patients was 40.71±14.071 years, and 55% of the cases had lung injuries (P=0.158). Furthermore, most of the causes of scapular fracture were due to car-motorcycle accidents (30%) and car overturning (27%). Lung contusion (31%) and hemothorax (30%) were the most types of lung injuries. The mean±SD duration of hospitalization was estimated at 4.94±7.90 days. The mean age (OR=-0.207, P=0.039) and intensive care unit admission rate (OR=0.267, P=0.007) were statistically different in patients with and without lung injuries. Conclusion: Although scapula fractures were not significantly associated with lung injuries in this study, the occurrence of 55% of the lung injuries was clinically important, which should be considered by emergency physicians.
Background: Scapular fractures are among the orthopedic injuries, which are associated with other injuries, such as lung injuries. This study aimed to evaluate the prevalence of lung injuries associated with scapular fractures in traumatic patients referred to a main trauma center in the south of Iran. Methods: The present retrospective cross-sectional study was conducted from April 2016 to June 2019 on adult traumatic patients, who were referred to one of the main trauma centers in the south of Iran, and their data were recorded in the hospital information system. The patients with chest computed tomography, and those whose scapula fractures were reported and confirmed by a radiologist were included in this study. All patients' data were extracted from their medical files and then analyzed. Results: A total of 100 patients were enrolled, and the majority (78%) of the cases were male. The mean±SD age of the patients was 40.71±14.071 years, and 55% of the cases had lung injuries (P=0.158). Furthermore, most of the causes of scapular fracture were due to car-motorcycle accidents (30%) and car overturning (27%). Lung contusion (31%) and hemothorax (30%) were the most types of lung injuries. The mean±SD duration of hospitalization was estimated at 4.94±7.90 days. The mean age (OR=-0.207, P=0.039) and intensive care unit admission rate (OR=0.267, P=0.007) were statistically different in patients with and without lung injuries. Conclusion: Although scapula fractures were not significantly associated with lung injuries in this study, the occurrence of 55% of the lung injuries was clinically important, which should be considered by emergency physicians.
Authors: Valentin Neuhaus; Arjan G J Bot; Thierry G Guitton; David C Ring; Mahmoud I Abdel-Ghany; Jeffrey Abrams; Joshua M Abzug; Lars E Adolfsson; George W Balfour; H Brent Bamberger; Antonio Barquet; Michael Baskies; W Arnold Batson; Taizoon Baxamusa; Grant J Bayne; Thierry Begue; Michael Behrman; Daphne Beingessner; Jan Biert; Julius Bishop; Mateus Borges Oliveira Alves; Martin Boyer; Drago Brilej; Peter R G Brink; Lance M Brunton; Richard Buckley; Juan Carlos Cagnone; Ryan P Calfee; Luiz Augusto B Campinhos; Charles Cassidy; Louis Catalano; Karel Chivers; Pradeep Choudhari; Matej Cimerman; Joseph M Conflitti; Ralph M Costanzo; Brett D Crist; Brian J Cross; Phani Dantuluri; Michael Darowish; Ramon de Bedout; Thomas DeCoster; David G Dennison; Peter H DeNoble; Gregory DeSilva; Thomas Dienstknecht; Scott F Duncan; Xavier A Duralde; Holger Durchholz; Kenneth Egol; Carl Ekholm; Nelson Elias; John M Erickson; J Daniel Espinosa Esparza; C H Fernandes; Thomas J Fischer; Martin Fischmeister; E Forigua Jaime; Charles L Getz; Richard S Gilbert; Vincenzo Giordano; David L Glaser; Taco Gosens; Michael W Grafe; Jose Eduardo Grandi Ribeiro Filho; Robert R L Gray; Lawrence V Gulotta; Nigel William Gummerson; Eric Mark Hammerberg; Edward Harvey; R Haverlag; Patrick D G Henry; Jonathan L Hobby; Eric P Hofmeister; Thomas Hughes; John Itamura; Peter Jebson; Richard Jenkinson; Kyle Jeray; Christopher M Jones; Jedediah Jones; Axel Jubel; Scott G Kaar; K Kabir; F Thomas D Kaplan; Stephen A Kennedy; Michael W Kessler; Hervey L Kimball; Peter Kloen; Cyrus Klostermann; Georges Kohut; G A Kraan; Anze Kristan; Mark I Loebenberg; Kevin J Malone; L Marsh; Paul A Martineau; John McAuliffe; Iain McGraw; Samir Mehta; Milind Merchant; Charles Metzger; S A Meylaerts; Anna N Miller; Jennifer Moriatis Wolf; Joel Murachovsky; Anand Murthi; Michael Nancollas; Betsy M Nolan; Timothy Omara; Reza Omid; Jose A Ortiz; Joachim P Overbeck; Alberto Pérez Castillo; Rodrigo Pesantez; Daniel Polatsch; G Porcellini; Michael Prayson; M Quell; Matthew M Ragsdell; James G Reid; J M Reuver; Marc J Richard; Martin Richardson; Marco Rizzo; Sergio Rowinski; Jorge Rubio; Carlos G Sánchez Guerrero; Wojciech Satora; Peter Schandelmaier; Johan H Scheer; Andrew Schmidt; Todd A Schubkegel; Leah M Schulte; Evan D Schumer; Benjamin W Sears; Adam B Shafritz; Nicholas L Shortt; Todd Siff; Dario Mejia Silva; Raymond Malcolm Smith; Sander Spruijt; Jason A Stein; Emilija Stojkovska Pemovska; Philipp N Streubel; Carrie Swigart; Marc Swiontkowski; George Thomas; Eric T Tolo; Matthias Turina; Minos Tyllianakis; Michel P J van den Bekerom; Huub van der Heide; M A J van de Sande; P V van Eerten; Diederik O F Verbeek; David Victoria Hoffmann; A J H Vochteloo; Robert Wagenmakers; Christopher J Wall; Richard Wallensten; Daniel C Wascher; Lawrence Weiss; J Michael Wiater; Brian P D Wills; Jeffrey Wint; Thomas Wright; Jason P Young; Charalampos Zalavras; Robert D Zura; Karol Zyto Journal: J Orthop Trauma Date: 2014-03 Impact factor: 2.512