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Scapula

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Abstract

Scapular fractures are rare in general and therefore rare in sports. Scapular fractures are injuries that require high-energy force and are often seen in association with other injuries. The most common mechanism of injury is blunt trauma to the superior and lateral shoulder. Typical presentation is the arm held in adduction with localized tenderness and resistance by the patient to any movement. The diagnosis is ultimately made radiographically. Classification of these injuries is helpful in determining if management should be surgical or non-surgical, though indications for surgery are debated and evolving. In general, minimally displaced fractures can be managed non-surgically. Non-surgical management includes ice, pain control, and a sling for comfort. Range of motion exercises should be started as soon as pain permits. Follow-up radiographs are obtained in the first 3 weeks to demonstrate evidence of healing, after which resistance exercises are initiated. Regular non-contact activity can resume after union occurs at about 6–8 weeks post-injury.

Keywords

  • Sports injury
  • Fall
  • High-speed injury
  • Trauma
  • Shoulder injury
  • Fracture

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  • DOI: 10.1007/978-3-030-36790-9_13
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References

  1. Jaeger M, Lambert S, Sudkamp NP, Kellam JF, Madsen JE, Babst R, et al. The AO Foundation and Orthopaedic Trauma Association (AO/OTA) scapula fracture classification system: focus on glenoid fossa involvement. J Shoulder Elb Surg. 2013;22(4):512–20.

    CrossRef  Google Scholar 

  2. Cole PA, Schroder LK, Jacobson AR. Scapula and rib fractures. In: Browner BD, Jupiter JB, Krettek C, Anderson PA, editors. Skeletal trauma: basic science, management, and reconstruction. 5th ed. Philadelphia: Saunders, an imprint of Elsevier Inc; 2015. p. 1519–55.

    Google Scholar 

  3. Cole PA, Freeman G, Dubin JR. Scapula fractures. Curr Rev Musculoskelet Med. 2013;6(1):79–87.

    CrossRef  Google Scholar 

  4. Lapner PC, Uhthoff HK, Papp S. Scapula fractures. Orthop Clin North Am. 2008;39(4):459–74, vi.

    CrossRef  Google Scholar 

  5. Limb D. Fractures of the scapula. Orthop Trauma. 2012;26(6):374–9.

    CrossRef  Google Scholar 

  6. Ropp AM, Davis DL. Scapular fractures: what radiologists need to know. AJR Am J Roentgenol. 2015;205(3):491–501.

    CrossRef  Google Scholar 

  7. Scapula. J Orthop Trauma. 2018;32 Suppl 1:S101–S4.

    Google Scholar 

  8. Audige L, Kellam JF, Lambert S, Madsen JE, Babst R, Andermahr J, et al. The AO Foundation and Orthopaedic Trauma Association (AO/OTA) scapula fracture classification system: focus on body involvement. J Shoulder Elb Surg. 2014;23(2):189–96.

    CrossRef  Google Scholar 

  9. Gosens T, Speigner B, Minekus J. Fracture of the scapular body: functional outcome after conservative treatment. J Shoulder Elb Surg. 2009;18(3):443–8.

    CrossRef  Google Scholar 

  10. Cole PA, Gauger EM, Schroder LK. Management of scapular fractures. J Am Acad Orthop Surg. 2012;20(3):130–41.

    CrossRef  Google Scholar 

  11. Goss TP, Walcott ME. Fractures of the scapula. In: Rockwood CA, Matsen FA, Wirth MW, Lippitt SB, Fehringer EV, Sperling JW, editors. Rockwood and Matsen’s the shoulder. Philadelphia: Elsevier Inc.; 2017. p. 243–90.

    Google Scholar 

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Correspondence to Darcy Selenke .

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Spadafore, S.M., Wolcott, M., Selenke, D. (2020). Scapula. In: Khodaee, M., Waterbrook, A., Gammons, M. (eds) Sports-related Fractures, Dislocations and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-36790-9_13

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  • DOI: https://doi.org/10.1007/978-3-030-36790-9_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-36789-3

  • Online ISBN: 978-3-030-36790-9

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