Scapula fracturesFlash Presentation (from Shoulderdoc) Edited 22.8.05 Naqui - Ref: Orthoteers, Brinker Edited 22.8.05 Naqui - Ref: Orthoteers, BrinkerScapula fractures = 1% of all fractures. Mean age 35-45 yrs. Low incidence due to thick edges, mobility, recoil, muscular covering.
Direct - Due to high energy trauma. Indirect " axial load on outstretched arm Causes:
P/C " pain, pseudorupture of RC, tenderness, ecchymosis, swelling, deformity Imaging: Xray: - true AP, axillary lateral, true scapular lateral, Stryker view(45deg cephalic tilt view) CT: - 2D for glenoid fossa, neck#, 3D " complex patterns
Most can be managed non-operatively. Zdravakovic classification (1974) I " scapular body# : II " coracoid or acromial # : III " scapular neck or glenoid fossa # Indications for surgery:
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