Article

Scapular fractures are uncommon, and
displaced glenoid fractures are even rarer. Surgery is usually performed for
severely displaced fractures and positive outcomes have been reported, although
some patients have residual limitations. Published rehabilitation guidelines are
limited. The purpose of this case report is to describe the physical therapy (PT)
rehabilitation of a patient with a complicated scapular fracture, and to describe
factors influencing his outcome. Case description: Exercise, manual therapy, and
modalities were used in the rehabilitation process. Outcome measures included
manual muscle testing for strength, goniometry for range of motion (ROM), and the
shoulder pain and disability index (SPADI) for function. Outcomes: Improvements
in strength, ROM, and function were noted. The patient had full ROM, 4 + /5 to
5/5 strength, and a SPADI score of 3/100 at discharge from PT. Discussion: The
patient achieved a favorable outcome, in spite of having a long-duration wound
infection and a second surgery for hardware removal. Further research should
identify the optimal rehabilitation progression for patients with this type of
surgery.

Langue : ANGLAIS