Scapular fracture: Difference between revisions
(Text replacement - "assoc " to "associated ") |
(Text replacement - "==References== " to "==References== <references/> ") |
||
Line 25: | Line 25: | ||
==References== | ==References== | ||
<references/> | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] |
Revision as of 01:13, 24 July 2017
Background
- Occurs via direct trauma to shoulder area or FOOSH
- Fractures of body and glenoid are most common
- >75% are associated with other injuries (ribs, lung, shoulder girdle)
Clinical Features
- Localized tenderness over scapula with ipsilateral arm held in adduction
- Any arm movement will worsen pain
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Evaluation
- Dedicated scapular series (AP, lateral, axillary) will identify most fractures
Management
- Rule-out other injuries
- Low threshold for additional CT imaging or obs
- Sling, ice