Scapula Fracture

Question 1

What is the MOI?

Answer 1

1. Due to high energy trauma (MVA, fall from height)
   *be concerned off injury to ribs, spine, lungs

Question 2

What are the symptoms?

Answer 2

1. Pain and soreness (posteriorly)
2. Arm at side

Question 3

What will be shown during the physical exam?

Answer 3

1. Trauma to skin
2. Swelling
3. Bruising
4. Tenderness
5. Decreased motion and muscle strength with shoulder testing secondary to pain

Question 4

What are some diagnostic tests to due?

Answer 4

1. Radiographs
   *transcapular view
2. CT if fracture is not clear or if glenoid is involved

Question 5

What is the treatment?

Answer 5

1. Non surgical in almost al cases
2. Sling
3. No heavy lifting
4. Gentle ROM within one week
   **may need admission if the scapular body fracture causes a pulmonary contusion

Question 6

When should a scapula fracture be referred to ortho?

Answer 6

1. If there is a displaced fracture
2. Fracture involving glenoid
3. Angular deformity