Scapular fracture: Difference between revisions
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==Background== | ==Background== | ||
[[File: | [[File:Gray205 left scapula lateral view.png|thumb|Scapula anatomy.]] | ||
*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 | ||
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==Evaluation== | ==Evaluation== | ||
[[File:FracturedGlenoid.png|thumb|X-ray showing a fracture of the scapula and clavicle.]] | [[File:FracturedGlenoid.png|thumb|X-ray showing a fracture of the scapula and clavicle.]] | ||
[[File:ScapulaFracture.png|thumb|A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan.]] | |||
*Dedicated scapular series (AP, lateral, axillary) will identify most fractures | *Dedicated scapular series (AP, lateral, axillary) will identify most fractures | ||
Revision as of 22:23, 13 June 2020
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