Scapular Fracture

Background

- result from high speed mva, fall from height or crush

- high incidence of assoc lung, chest injury- rib, clavicle fx, pneumothorax, hemo, pulm contusion- may present 2-3 days p injury. Can also have brachial plexus, subclavian vessel inj.

Types

1- body and spine

2- acromion and coracoid process

3- scapular neck and glenoid fossa

Treatment

- conservative with analgesics, splinting- for 2- 4 wks.

- start pendular shoulder exercises to avoid adhesive capsulitis.

- type 1 fx need no further tx

- type 2- surgical only if severly displaced

- type 3- same as #2