A modified judet approach to the scapula.
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Sex determination from skeletal human remains by discriminant function analysis is one of the methods utilized in the forensic and osteoarcheological sciences. The purpose of the present study is to establish metric standards for sex determination for medieval Anatolian populations using scapular measurements. The database for this research consisted of 93 adult skeletal remains (47 males and 46 females) from the Dilkaya medieval collection. Four measurements were taken: maximum scapular height, maximum scapular breadth, glenoid cavity height, glenoid cavity breadth, and subjected to discriminant function analysis. All measurements demonstrated some degree of sexual dimorphism, with the highest accuracy of sex determination (94.8%) obtained using maximum scapular breadth. Overall accuracies of the functions ranged from 82.9% to 95.0%, with a higher accuracy rate obtained for female skeletons than for males. Population specific discriminant formulas were developed using combinations of measurements, which can be used in ancient Anatolian populations.
For replacing partial lack of the upper jaw bone shoulder-blade transplanted by microsurgical method is used. The anatomy of the veins supplying the transplant and the surgical method are described. In connection with describing two cases good functional and cosmetic successes are reported on and the great importance of living bone replacement is emphasized.
Authors call attention, describing 3 cases of their own, to the diagnostical difficulties of these rare injuries. They think the axillary Roentgenogram, except the dislocated fractures of the humerus, in all injuries of the shoulder region necessary. In 2 cases operations were performed, 1 patient was treated conservatively. In case of fracture of the process with impirtant dislocation operation is suggested. The patients healed with good functional results.
Presented is a case of progressive hemifacial atrophy. The reconstruction of the deficient left face-contour was performed by a free microsurgical transplanted fat-fascia flap from the scapular region. The position of the fascial layer of the inlay, facing skeletal and muscular structures, enables fixation of the transplanted tissue to zygomatic periosteum and fascia of the temporalis muscle. Thus we have advantage to avoid sagging of the transplanted tissue in upright position and to remove over-correcting applied amounts of fatty tissue during the first corrective operation.
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The diseases most frequently resulting in a chronic shoulder-hand syndrome are definitely of a post-traumatic nature and are later - after a varying period - often combined with degenerative changes. The tendency to injury is enhanced by the particularly great mobility of the shoulder joint. Inflammatory changes - e.g. of bacterial, rheumatic origin - are much rarer. The authors present two patients with rare neoplastic lesions in the region of the shoulder-blade and show how the disease was identified via various differential diagnostic methods.
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Scapular fractures, a relatively uncommon injury, most often result from major trauma. This paper categorizes the different types of scapular fractures; outlining clinical presentation, diagnosis, treatment, and complications. The importance of a good physical examination is stressed; as overlooking a soft tissue injury (i.e., pneumothorax, neurovascular tear, cerebral contusion) commonly associated with scapular fractures may be life-threatening. Scapular fractures are commonly treated nonoperatively. However, when glenohumeral joint function is impaired, surgery may be indicated after patient age, occupation, and clinical status are evaluated.