Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Scapula fractures

Flash Presentation (from Shoulderdoc)

Edited 22.8.05 Naqui - Ref: Orthoteers, Brinker

Edited 22.8.05 Naqui - Ref: Orthoteers, Brinker

Scapula fractures = 1% of all fractures. Mean age 35-45 yrs.

Low incidence due to thick edges, mobility, recoil, muscular covering.

Biomech. force couple of normal shoulder abduction - RC vs Deltoid. RC stabalise humeral head on glenoid fossa. Displaced # glenoid fossa/neck disrupt couple, resulting in chronic abduction weakness and subacromial pain. 

Direct - Due to high energy trauma.

Indirect " axial load on outstretched arm


  •  R.T.A. - 60%
  • Fall from height - 20%
  • Others - 20%

Associated Injuries:

  • Clavicle fractures 15 - 40%
  • Rib fractures 25 - 50%
  • Pulmonary injuries (heamo/pneumothorax, contusions)15 - 55%
  • Humeral fractures 12%
  • Brachial Plexus 5-10% 
  • Skull fractures 25%
  • C-spine # 12%
  • Lower Limb fractures 11%
  • Major Vascular injury 11%
  • Splenic lacerations 8% 
  •  Pelvic#/ intra-abdo injury

 P/C " pain, pseudorupture of RC, tenderness, ecchymosis, swelling, deformity


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:

  1. Depressed acromion fractures that encroach

    This is a preview of the site content. To view the full text for this site, you need to log in.
    If you are having problems logging in, please refer to the login help page.

© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 11 June 2006Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Brachial plexus Injury
Clavicle fractures
Dislocations of the Acromioclavicul...
Frozen Shoulder
Os acromiale
Rotator Cuff Disease
Scapula fractures
Shoulder biomechanics
Shoulder anatomy
Shoulder Arthroscopy
Shoulder Instability
Hide Menu