Immediate Fixation Versus Late Osteotomy for an Unusual Scapula Body Fracture: A Report of 2 Cases

We present 2 unusual scapula fractures that do not meet published thresholds for surgical intervention; 1 initially managed surgically with a good functional result and 1 conservatively with a poor outcome. The second patient subsequently underwent osteotomy and fixation with good effect. Despite no...

Full description

Saved in:
Bibliographic Details
Published inJBJS case connector Vol. 11; no. 2
Main Authors McClelland, Damian, Mishra, Bhanu, Grocott, Natalie
Format Journal Article
LanguageEnglish
Published United States 09.04.2021
Subjects
Fracture Fixation, Internal
Humans
Osteotomy
Scapula - diagnostic imaging
Scapula - injuries
Scapula - surgery
Shoulder Fractures
Online AccessGet more information

Cover

More Information
Summary:We present 2 unusual scapula fractures that do not meet published thresholds for surgical intervention; 1 initially managed surgically with a good functional result and 1 conservatively with a poor outcome. The second patient subsequently underwent osteotomy and fixation with good effect. Despite not reaching published levels of displacement or angulation usually considered for surgical intervention, these cases demonstrate that combined patterns of scapula injury can cause functional disability if managed conservatively. The authors believe that combination patterns of injury should be considered for early surgery to avoid loss of function caused by healing of the fracture(s) in malposition.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.20.00610