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Date Published: 28/12/2025
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DOI: 10.56535/jmpm.v50i9.1722
Issue
Vol. 50 No. 9 (2025): JOURNAL OF MILITARY PHARMACO-MEDICINE No.9 - 2025
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Articles
How to Cite
Thai, N. B., Phung, A. T., Lim, S., Tithhorn, S., & Vu, N. D. (2025). STUDY ON THE CONSISTENCY OF SCAPULAR FRACTURE CHARACTERISTICS ON CONVENTIONAL RADIOGRAPHY AND COMPUTED TOMOGRAPHY IMAGES. Journal of Military Pharmaco-medicine, 50(9), 217-225. https://doi.org/10.56535/jmpm.v50i9.1722

STUDY ON THE CONSISTENCY OF SCAPULAR FRACTURE CHARACTERISTICS ON CONVENTIONAL RADIOGRAPHY AND COMPUTED TOMOGRAPHY IMAGES

Ngoc Binh Thai1, , Anh Tuan Phung2, Sereivuth Lim3, Saopy Tithhorn4, Nhat Dinh Vu5
1 Bộ môn Chấn thương chỉnh hình, Bệnh viện Quân y 103, Học viện Quân y
2 Bộ môn - Trung tâm Chẩn đoán hình ảnh, Bệnh viện Quân y 103, Học viện Quân y
3 Lữ Đoàn 1, Campuchia
4 Bộ Tư lệnh Quốc gia chống khủng bố, Campuchia
5 Học viện Quân y

Main Article Content

Abstract

Objectives: To assess the consistency of scapular fracture characteristics on conventional radiography and computed tomography (CT) images. Methods: A prospective, cross-sectional descriptive study was conducted on 76 patients with fractures of the glenoid, neck, and body of the scapula, who underwent conventional radiographs and three-dimensional CT (3D CT) reconstruction. Results: Regarding fracture characteristics, complex fracture patterns were detected in 64.5% of cases on radiographs compared with 72.4% on 3D CT  (Kappa = 0.689). Regarding fracture location, radiographs most frequently identified isolated neck and body fractures (43.4% each), whereas 3D CT revealed isolated body fractures as predominant (64.5%), Kappa = 0.576. Assessment of displacement showed no significant difference between radiographs and CT for anteroposterior displacement and glenopolar angle (p = 0.287 and p = 0.867). In contrast, statistically significant differences were found in lateral and angular displacement (p = 0.012 and p = 0.036), where 3D CT provided superior accuracy. Conclusion: Conventional radiography is valuable for the initial evaluation of scapular fractures. However, 3D CT is essential for the accurate determination of fracture properties, displacement extent, and anatomical location.

Keywords

Scapular fracture, Conventional radiography, Computed tomography

Article Details

References

1. Berritto A, Pinto D. Scapular fractures: A common diagnostic pitfall. Acta Biomed. 2018; 89(1-S):102-110.
2. Ropp AM, Davis DL. Scapular fractures: What radiologists need to know. Radiographics. 2015; 35(3):798-812.
3. Mazaheri P, Fayad LM, Fishman EK, Fayad LM. Advanced imaging of the scapula: What every radiologist needs to know. J Comput Assist Tomogr. 2016; 40(4):567-575.
4. Adams M, De Coster TA. The role of plain films and computed tomography in the evaluation of scapular neck fractures. J Orthop Trauma. 2002; 16(1):7-11.
5. Armitage BR, Wijdicks CA, Cole PA, et al. Mapping of scapular fractures with three-dimensional computed tomography. J Bone Joint Surg Am. 2009; 91(9):2222-2228.
6. Anavian J, Conflitti JM, Khanna G, Cole PA. A reliable radiographic measurement technique for extra-articular scapular fractures. Clin Orthop Relat Res. 2011; 469(12):3371-3378.
7. Cole PA, Gauger EM, Schroder LK. Management of scapular fractures. J Am Acad Orthop Surg. 2012; 20(3):130-141.
8. Tadros MA, Eid HO. Usefulness of different imaging modalities in the assessment of scapular fractures caused by blunt trauma. Acta Radiol. 2009; 50(1):95-101.
9. Pires RE, Giordano V, Bitar RC, et al. Current challenges and controversies in the management of scapular fractures: A review. Patient Saf Surg. 2021; 15(1):6.
10. Harris RD, Harris JH Jr. The prevalence and significance of missed scapular fractures in blunt chest trauma. AJR Am J Roentgenol. 1988; 151(4): 747-750.