Scapula and clavicle fractures

Question 1

Does a scapula fracture require much intervention

Answer 1

No

Tone of surrounding muscles holds fragments in place for healing

Question 2

How do clavicle fractures commonly occur

Answer 2

Fall onto shoulder

Fall onto outstretched hand

Question 3

Where is the most common point of clavicle fracture and where are the fragments displaced as a result

Answer 3

Junction of medial 2/3 and lateral 1/3

Lateral fragment is displaced inferiorly by weight of arm
Medial fragment is displaced superiorly by sternocleidomastoid muscle

Question 4

What is there a risk of in a clavicle fracture

What is the consequence of this

Answer 4

Suprascapular nerves (medial, intermedial and lateral) may be damaged by superior movement of medial fragment 
Unopposed medial rotation at shoulder results in waiters tip deformity

Question 5

How do scapula fractures commonly occur

Answer 5

Very uncommon but they indicate severe chest trauma

Seen in high speed road collisions, crushing injuries or sports injuries