Fractures of the Scapula: A Narrative Review on Diagnosis and Management

Volume 8 | Issue 2 | Aug – Sep 2020 | Page: 53-59 | Sujayendra Murali, Sandesh Madi, Raghuraj Kundangar, Monappa Naik, Anika Sait


Authors: Sujayendra Murali [1], Sandesh Madi [1], Raghuraj Kundangar [1], Monappa Naik [1], Anika Sait [1]

[1] Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal

Address of Correspondence
Dr.Sujayendra Murali
Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal -576104
E-mail: sujayendra16@gmail.com


Abstract

Scapula fractures are relatively rare when compared to fractures of the other bones of the shoulder region. High-velocity injuries encountered in road traffic accidents are responsible for the increased incidence of these fractures. Intra-thoracic and cervical spine injuries can be associated with these fractures and warrants a thorough clinical examination. In an acute setting of patient resuscitation, the initial diagnosis of these fractures is frequently missed or delayed. Radiological assessment should include dedicated shoulder trauma X-ray series and computed tomography scans with three-dimensional reconstruction. Being suspended by the dense muscles of the shoulder complex, the union of these fractures is rarely a concern. However, with a better understanding of the biomechanics, the management of these fractures is gradually evolving. Only in recent times, the criteria for surgical intervention for these fractures have been defined. This narrative review aims to provide a brief overview of the recent advances and the changing concepts of these uncommon fractures.
Key words: Trauma; Scapula; Fracture classification; glenoid; algorithm.


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How to Cite this article: Murali S, Madi S, Kundangar R, Naik M, Sait A | Fractures of the Scapula: A Narrative Review on Diagnosis and Management | Journal of Karnataka Orthopaedic Association | August-September 2020; 8(2): 53-59.

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