Scapular fractures are rare (incidence: about 10 per 100,000 person-years) and often a consequence of high-energy trauma. These fractures are typically accompanied by other, more serious conditions such as a spinal fracture, lung injury, or head injury. Scapular fractures can be categorized by the affected region of the bone: namely, the coracoid, the acromion, the glenoid, the scapular neck, and the scapular body.
Non-operative treatment in the form of sling immobilization followed by rehabilitation is indicated for the vast majority of scapula fractures. Operative treatment is chosen for the more displaced fractures, especially if there is joint instability present. Most scapular fractures heal without significant residuals; the patient’s overall outcome is usually dictated by the associated injuries, if present.
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