HSS Journal ®

, Volume 14, Issue 3, pp 328–332 | Cite as

Scapular Body Fracture in the Athlete: A Systematic Review

  • Mithun NeralEmail author
  • Derrick M. Knapik
  • Robert J. Wetzel
  • Michael J. Salata
  • James E. Voos
Review Article



Scapular body fractures generally occur as a result of high-energy, direct trauma to the shoulder sustained in automobile accidents. While such mechanisms have been well described, little is known about scapular body fractures sustained during sporting activities.


We sought to systematically review the literature on scapular body fracture sustained during sporting activity, recording rates and mechanisms of injury, management strategies, and return-to-sport times.


Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we performed a systematic review of studies conducted between 1985 and 2017. Inclusion criteria were studies examining scapular body fractures sustained during sporting activity, fracture management, and patient outcomes. Exclusion criteria were studies on non-sporting-related fractures and those not reporting fracture management or patient outcomes.


Nine studies encompassing ten cases of scapular body fracture sustained during sporting activity were identified, with acute trauma responsible for 70% of fractures. No patient sustained any associated injuries. Fractures were treated conservatively in 90% of cases, with no reported complications. Mean overall time to return to sport was 2.5 months, while no significant difference in return to sport was appreciated in athletes with acute versus fatigue fractures.


Scapular body fractures in athletes occur primarily from muscle contraction against a resisted force in the upper extremity during contact sports. Unlike non-sporting fractures, these fractures usually involve low-energy mechanisms without associated injury and conservative treatment is usually successful.


scapula fracture athlete treatment outcomes scapular body management 


Compliance with Ethical Standards

Conflict of Interest

Mithun Neral, MD, Derrick M. Knapik, MD, and Robert J. Wetzel, MD, declare that they have no conflicts of interest. Michael J. Salata, MD, reports being a paid consultant for Smith and Nephew, Stryker, and Linvatec, outside the current submission. James E. Voos, MD, reports being a paid consultant for Arthrex, outside the current submission.

Human/Animal Rights


Informed Consent


Required Author Forms

Disclosure forms provided by the authors are available with the online version of this article.

Supplementary material

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Copyright information

© Hospital for Special Surgery 2018

Authors and Affiliations

  1. 1.University Hospitals Cleveland Medical CenterCase Western Reserve University School of MedicineClevelandUSA
  2. 2.University Hospitals Sports Medicine InstituteUniversity Hospitals Cleveland Medical Center Case Western Reserve University School of MedicineClevelandUSA

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