{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T17:42:45Z","timestamp":1760550165473},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To analyze functional outcomes, motion, and strength in patients 65 years of age and older who underwent operative management of a scapula fracture.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective review of prospective database.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>A single level-1 teaching trauma center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients\/Participants:<\/jats:title>\n            <jats:p>Two hundred fifty patients with scapula fractures were operated between January 2002 and March 2014. A review identified 16 geriatric patients 65 years of age and older.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>All patients underwent operative treatment of a scapular fracture.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>Disabilities of the Arm, Shoulder, and Hand (DASH), Short-Form Health Survey versions 1 and 2 (SF-36), Range of Motion (ROM), and Strength assessment at final follow-up 1 year or greater.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Outcomes were attained on 15\/16 patients at a mean follow-up of 40 months (range = 12\u2013114). All fractures were united. Three patients experienced minor perioperative complications (temporary delirium in 2 patients, urinary tract infection in 1). One patient required subsequent removal of an intraarticular screw, and 1 patient required resection of heterotopic ossification and requested implant removal. The mean ROM expressed as a percent of contralateral ROM ranged from 78% to 96%. The mean strength expressed as a percent of contralateral strength ranged from 76% to 92%. The mean DASH score was 8.4. SF-36 scores were comparable with the normal population. All patients returned to activities.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Operative treatment for displaced fractures in patients 65 years of age and older is safe and can yield good functional results and return to function.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000000710","type":"journal-article","created":{"date-parts":[[2016,12,20]],"date-time":"2016-12-20T19:48:27Z","timestamp":1482263307000},"page":"e1-e8","source":"Crossref","is-referenced-by-count":16,"title":["Functional Outcomes of Operative Management of Scapula Fractures in a Geriatric Cohort"],"prefix":"10.1097","volume":"31","author":[{"given":"Peter A.","family":"Cole","sequence":"first","affiliation":[{"name":"University of Miami, Coral Gables, FL; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey A.","family":"Gilbertson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Regions Hospital, University of Minnesota, Saint Paul, MN."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter A.","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Regions Hospital, University of Minnesota, Saint Paul, MN."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R2-20230829","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1097\/00005373-198510000-00008","article-title":"The significance of scapular fractures","volume":"25","author":"Thompson","year":"1985","journal-title":"J Trauma."},{"key":"R3-20230829","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/00005373-197506000-00002","article-title":"Fractures of the scapula: a review of 53 fractures","volume":"15","author":"Imatani","year":"1975","journal-title":"J Trauma."},{"key":"R4-20230829","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1007\/s00264-010-1072-y","article-title":"Scapular body fractures: results of operative treatment","volume":"35","author":"Barton\u00ed\u010dek","year":"2011","journal-title":"Int Orthop."},{"key":"R5-20230829","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1097\/00003086-199108000-00025","article-title":"Scapular fractures. 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