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 assoc | *>75% are assoc with other injuries (ribs, lung, shoulder girdle) | ||
==Clinical Features== | ==Clinical Features== | ||
*Localized tenderness over scapula | *Localized tenderness over scapula with ipsilateral arm held in adduction | ||
*Any arm movement will worsen pain | *Any arm movement will worsen pain | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Thoracic trauma DDX}} | {{Thoracic trauma DDX}} | ||
==Diagnosis== | |||
*Dedicated scapular series (AP, lateral, axillary) will identify most fractures | |||
==Management== | ==Management== | ||
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**Low threshold for additional CT imaging or obs | **Low threshold for additional CT imaging or obs | ||
*[[Sling]], ice | *[[Sling]], ice | ||
==Disposition== | |||
==See Also== | ==See Also== | ||
*[[Fractures (Main)]] | *[[Fractures (Main)]] | ||
== | ==References== | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 18:03, 14 March 2016
Background
- Occurs via direct trauma to shoulder area or FOOSH
- Fractures of body and glenoid are most common
- >75% are assoc 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
Diagnosis
- 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