Scapular fracture: Difference between revisions
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*Occurs via direct trauma to shoulder area or FOOSH | *Occurs via direct trauma to shoulder area or FOOSH | ||
**Fractures of body and glenoid are most common | **Fractures of body and glenoid are most common | ||
*>75% are | *>75% are associated with other injuries (ribs, lung, shoulder girdle) | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 21:48, 24 August 2016
Background
- Occurs via direct trauma to shoulder area or FOOSH
- Fractures of body and glenoid are most common
- >75% are associated with other injuries (ribs, lung, shoulder girdle)
Clinical Features
- Localized tenderness over scapula with ipsilateral arm held in adduction
- Any arm movement will worsen pain
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Evaluation
- Dedicated scapular series (AP, lateral, axillary) will identify most fractures
Management
- Rule-out other injuries
- Low threshold for additional CT imaging or obs
- Sling, ice