II. Epidemiology

  1. Infrequent injury

III. Mechanism

  1. Results from severe thoracic Trauma
    1. Direct Traumatic blow or fall

IV. Types

  1. Scapula body or neck (most common)
  2. Articular Fracture (rare)

V. Management

  1. Non-articular Scapular Fractures
    1. Immobilize Shoulder for 1-2 weeks until pain subsides
      1. Sling (worn under snug undershirt)
      2. Shoulder Immobilizer
    2. Start Shoulder Range of Motion Exercises early
  2. Surgical reduction Indications
    1. Displaced Fracture
    2. Articular Scapular Fractures (involving Glenoid)

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