Fractures of the Scapula


Traumatic injuries to the scapula are uncommon and therefore have received little attention in the orthopaedic literature. Scapula fractures often result from significant high-energy trauma, such as motor vehicle accidents or falls from a height. Direct blows over the anterior, posterior, or superior aspect of the shoulder are most common, although indirect mechanisms can also occur, such as a fall on the arm that causes the humeral head to impact against the glenoid. The indications for surgical management of scapula fractures are still evolving. Most isolated fractures of the scapular body without involvement of the glenoid or scapular neck can be managed nonsurgically. However, fractures that are significantly displaced can result in adverse healing and long-term functional consequences and should be considered for open reconstruction.

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