Scapular fracture

Revision as of 01:45, 11 February 2012 by Jswartz (talk | contribs)

Background

  • Occurs via direct trauma to shoulder area or FOOSH
    • Fractures of body and glenoid are most common
  • >75% are assoc w/ other injuries (ribs, lung, shoulder girdle)

Clinical Features

  • Localized tenderness over scapula w/ ipsilateral arm held in adduction
  • Any arm movement will worsen pain

Imaging

  • Dedicated scapular series (AP, lateral, axillary) will identify most fracturs

Management

  • Rule-out other injuries
  • Sling, ice

Source

  • Tintinalli
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