Scapula fracture

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

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

Disposition

See Also

References