Scapula fracture

Scapula fractures are rare injuries. They usually involve the scapular neck, body, or glenoid cavity. There are often associated injuries. They’re mostly treated conservatively but surgical treatment is indicated for displaced or intraarticular fractures.

A “floating shoulder” refers to ipsilateral fracture of the scapular neck and clavicle, causing the shoulder to “float” freely. Floating shoulder is an indication of surgery.

Etiology

These fractures may occur due to falls or high energy trauma.

Clinical features

Symptoms are typical fracture symptoms.

Diagnosis and evaluation

CT may be necessary preoperatively.

Treatment

Conservative therapy is used for fractures of the scapular body and of the scapular neck if there is no major dislocation. It involves a sling and early mobilisation.

Operative therapy is used for displaced neck fractures, when closed reduction is not possible, and if intraarticular. Floating shoulder is also an indication for operation.