{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T05:38:13Z","timestamp":1793165893379,"version":"4.5.0"},"reference-count":81,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n \n \n \u00bb Fractures of the growing scapula account for about 0.1% of all pediatric fractures, with the majority occurring at an age of \u226510 years.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Radiographic diagnosis requires a detailed knowledge of the ossification sequence of the growing scapula. Computed tomography examination is indicated for displaced fractures of the glenoid fossa, the scapular neck, and complex fractures; magnetic resonance imaging should be performed in cases of suspected injury to the physis and with stress fractures, depending on patient age and the potential need for general anesthesia during the scanning process.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Separation of the base of the coracoid process is often associated with acromioclavicular dislocation. Clavicular fractures rarely occur in combination with injuries to the growing scapula.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb The majority of scapular fractures can be treated nonoperatively. Indications for surgery are displaced intra-articular fractures, scapular neck fractures with a displacement of >2 cm, coracoid base separation associated with acromioclavicular dislocation, and scapulothoracic dissociation.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Displaced intra-articular fractures of the glenoid fossa should be followed after healing until skeletal maturity. Complications are rare and occur most frequently with scapulothoracic dissociation.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>","DOI":"10.2106\/jbjs.rvw.21.00132","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T14:01:38Z","timestamp":1645020098000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Diagnosis and Treatment of Scapular Fractures in Children and Adolescents"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8461-9884","authenticated-orcid":false,"given":"Ond\u0159ej","family":"Na\u0148ka","sequence":"first","affiliation":[{"name":"Institute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic"},{"name":"Department of Pediatric and Trauma Surgery, 3rd Faculty of Medicine, Charles University, Thomayer Teaching Hospital, Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2228-1443","authenticated-orcid":false,"given":"Jan","family":"Barton\u00ed\u010dek","sequence":"additional","affiliation":[{"name":"Institute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic"},{"name":"Department of Orthopaedics, First Faculty of Medicine, Charles University, Central Military Hospital, Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6300-395X","authenticated-orcid":false,"given":"Petr","family":"Havr\u00e1nek","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Trauma Surgery, 3rd Faculty of Medicine, Charles University, Thomayer Teaching Hospital, Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,2]]},"reference":[{"key":"r1-20240731","article-title":"History of diagnostics and treatment of scapular fractures in children and adolescents and its clinical importance","author":"Barton\u00ed\u010dek","year":"2021 Feb 4","journal-title":"Arch Orthop Trauma Surg"},{"issue":"3","key":"r15-20240731","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1007\/BF00352547","article-title":"Radiology of postnatal skeletal development. 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