"Surgical treatment of displaced intra- and extra-articular fractures of the scapula becomes a topical issue. Exact determination of the type of the fracture and its displacement represents necessary prerequisite for its indication. This requires the two Neer views as well as 3D CT reconstruction from the posterior, lateral, anterior and medial views with subtraction of the humeral head and the clavicle. The aim of surgical treatment depends on the type of fracture. In displaced intra-articular fractures it is the restoration of the congruency and stability of the joint. In displaced extra-articular fractures of processes, particularly of the coracoid, acromion and spine, the aim is to achieve healing in anatomical position, since healing in displacement may compromise the rotator cuff. In displaced extra-articular fractures of the scapular body and neck the objective of treatment is to restore the anatomical position of the glenoid to the lateral border of the scapular body (the gleno-polar angle), i."@en . "277078" . . . . "11120" . . "7"^^ . "Opera\u010Dn\u00ED l\u00E9\u010Dba zlomenin lopatky"@cs . "Opera\u010Dn\u00ED l\u00E9\u010Dba zlomenin lopatky" . . "4" . "Opera\u010Dn\u00ED l\u00E9\u010Dba dislokovan\u00FDch intra- a extraartikul\u00E1rn\u00EDch zlomenin lopatky nab\u00FDv\u00E1 na aktu\u00E1lnosti. Nezbytnost\u00ED p\u0159i jej\u00ED indikaci je p\u0159esn\u00E9 ur\u010Den\u00ED typu zlomeniny a jej\u00ED dislokace. K tomu jsou nutn\u00E9 nejen ob\u011B Neerovy projekce, ale i 3D CT rekonstrukce p\u0159i pohledu ze zadn\u00ED, later\u00E1ln\u00ED, p\u0159edn\u00ED a medi\u00E1ln\u00ED strany se subtrakc\u00ED hlavice humeru a kl\u00ED\u010Dku. C\u00EDl opera\u010Dn\u00ED l\u00E9\u010Dby z\u00E1vis\u00ED na typu zlomeniny. U dislokovan\u00FDch intraartikul\u00E1rn\u00EDch zlomenin je to obnoven\u00ED kongruence a stability kloubu. U dislokovan\u00FDch extraartikul\u00E1rn\u00EDch zlomenin v\u00FDb\u011B\u017Ek\u016F, p\u0159edev\u0161\u00EDm korakoideu, akromia a spiny, je c\u00EDlem dos\u00E1hnout zhojen\u00ED v anatomick\u00E9m postaven\u00ED, nebo\u0165 zhojen\u00ED v dislokaci m\u016F\u017Ee komprominovat rot\u00E1torovou man\u017Eetu. U dislokovan\u00FDch extraartikul\u00E1rn\u00EDch zlomenin t\u011Bla a kr\u010Dku lopatky je c\u00EDlem obnoven\u00ED p\u016Fvodn\u00EDho postaven\u00ED glenoidu a biomechanick\u00E9ho t\u011Bla lopatky (gleno-pol\u00E1rn\u00ED \u00FAhel), tzn. rekonstrukce d\u00E9lky a integrity later\u00E1ln\u00EDho okraje. Pro norm\u00E1ln\u00ED pohyb lopatky je d\u016Fle\u017Eit\u00E9 obnovit i kongruenci mezi jej\u00ED p\u0159edn\u00ED plochou a hrudn\u00ED st\u011Bnou, pop\u0159" . . "Barton\u00ED\u010Dek, Jan" . . "Operative treatment of scapula fractures"@en . "4" . . "3"^^ . . "1802-1727" . . . "RIV/00216208:11120/10:00003085!RIV12-MSM-11120___" . . "Operative treatment of scapula fractures"@en . "[30912B0B4B7F]" . "RIV/00216208:11120/10:00003085" . "scapula; scapula fractures; operative treatment"@en . "Opera\u010Dn\u00ED l\u00E9\u010Dba zlomenin lopatky" . . . "2"^^ . . . "Opera\u010Dn\u00ED l\u00E9\u010Dba zlomenin lopatky"@cs . "N, S, V" . "Fri\u010D, Vladim\u00EDr" . "Opera\u010Dn\u00ED l\u00E9\u010Dba dislokovan\u00FDch intra- a extraartikul\u00E1rn\u00EDch zlomenin lopatky nab\u00FDv\u00E1 na aktu\u00E1lnosti. Nezbytnost\u00ED p\u0159i jej\u00ED indikaci je p\u0159esn\u00E9 ur\u010Den\u00ED typu zlomeniny a jej\u00ED dislokace. K tomu jsou nutn\u00E9 nejen ob\u011B Neerovy projekce, ale i 3D CT rekonstrukce p\u0159i pohledu ze zadn\u00ED, later\u00E1ln\u00ED, p\u0159edn\u00ED a medi\u00E1ln\u00ED strany se subtrakc\u00ED hlavice humeru a kl\u00ED\u010Dku. C\u00EDl opera\u010Dn\u00ED l\u00E9\u010Dby z\u00E1vis\u00ED na typu zlomeniny. U dislokovan\u00FDch intraartikul\u00E1rn\u00EDch zlomenin je to obnoven\u00ED kongruence a stability kloubu. U dislokovan\u00FDch extraartikul\u00E1rn\u00EDch zlomenin v\u00FDb\u011B\u017Ek\u016F, p\u0159edev\u0161\u00EDm korakoideu, akromia a spiny, je c\u00EDlem dos\u00E1hnout zhojen\u00ED v anatomick\u00E9m postaven\u00ED, nebo\u0165 zhojen\u00ED v dislokaci m\u016F\u017Ee komprominovat rot\u00E1torovou man\u017Eetu. U dislokovan\u00FDch extraartikul\u00E1rn\u00EDch zlomenin t\u011Bla a kr\u010Dku lopatky je c\u00EDlem obnoven\u00ED p\u016Fvodn\u00EDho postaven\u00ED glenoidu a biomechanick\u00E9ho t\u011Bla lopatky (gleno-pol\u00E1rn\u00ED \u00FAhel), tzn. rekonstrukce d\u00E9lky a integrity later\u00E1ln\u00EDho okraje. Pro norm\u00E1ln\u00ED pohyb lopatky je d\u016Fle\u017Eit\u00E9 obnovit i kongruenci mezi jej\u00ED p\u0159edn\u00ED plochou a hrudn\u00ED st\u011Bnou, pop\u0159"@cs . "Tu\u010Dek, Michal" . "Ortopedie" . . "CZ - \u010Cesk\u00E1 republika" .