Scapular fracture: Difference between revisions
(Text replacement - "==References== " to "==References== <references/> ") |
|||
Line 12: | Line 12: | ||
==Evaluation== | ==Evaluation== | ||
[[File:FracturedGlenoid.png|thumb|X-ray showing a fracture of the scapula and clavicle.]] | |||
*Dedicated scapular series (AP, lateral, axillary) will identify most fractures | *Dedicated scapular series (AP, lateral, axillary) will identify most fractures | ||
Revision as of 22:20, 13 June 2020
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