Fracture of the Scapula

Classification
Based on anatomical location of the fracture: A.scapula body, B.acromion process and scapula spine, C.scapula neck, D.glenoid, E.coracoid process


Mechanism of Injury
Usually the result of high-energy trauma
Examination
Exclude associated injuries: rib fractures, pulmonary contusion, pneumothorax, clavicle fracture, brachial plexus injury, vascular injury
X-rays
AP and lateral of scapula
Management
Most scapula injuries can be treated conservatively with analgesics and triangular arm sling. TCU Ortho SOC 1/52.
The following cases are to be admitted to the Department of Orthopaedic Surgery:
1. Displaced intraarticular glenoid fractures involving >25% of articular surfaces
2. Scapula neck fractures with > 40 of angulation or >1cm medial translation
3. Scapula neck fractures associated with a displaced clavicle fracture
4. Associated neurovascular injuries
The following cases are to be admitted to the Department of Surgery:
1. Associated pulmonary contusion
2. Associated multiple ribs fracture +/- pneumothorax