eMedicine Specialties > Emergency Medicine > Trauma & Orthopedics
Fracture, Scapular: Differential Diagnoses & Workup
Updated: Sep 2, 2009
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
| Abdominal Pain in Elderly Persons | Fractures, Rib |
| Acromioclavicular Injury | Pneumothorax, Tension and Traumatic |
| Back Pain, Mechanical | |
| Dislocations, Shoulder | |
| Fractures, Clavicle |
Workup
Laboratory Studies
- Tailor the laboratory evaluation of a patient with scapular fracture to the likelihood of associated injuries.
Imaging Studies
- Radiography
- An anteroposterior shoulder view, along with a lateral scapular view, demonstrates the vast majority of scapular fractures.
- A lateral scapular (trans-scapular) view, combined with an anteroposterior shoulder view, provides the necessary 2-plane assessment of the scapula.
- A lateral axillary view isolates the coracoid process and helps to delineate associated shoulder dislocations.
- Tangential oblique views aid in the evaluation of small or subtle scapular body fractures.
- Computed tomography: A CT scan may be a helpful adjunct in glenoid and coracoid fracture assessment.4,5
More on Fracture, Scapular |
| Overview: Fracture, Scapular |
Differential Diagnoses & Workup: Fracture, Scapular |
| Treatment & Medication: Fracture, Scapular |
| Follow-up: Fracture, Scapular |
| Multimedia: Fracture, Scapular |
| References |
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References
Zlowodzki M, Bhandari M, Zelle BA, Kregor PJ, Cole PA. Treatment of scapula fractures: systematic review of 520 fractures in 22 case series. J Orthop Trauma. Mar 2006;20(3):230-3. [Medline].
Stephens NG, Morgan AS, Corvo P, Bernstein BA. Significance of scapular fracture in the blunt-trauma patient. Ann Emerg Med. Oct 1995;26(4):439-42. [Medline].
Baldwin KD, Ohman-Strickland P, Mehta S, Hume E. Scapula fractures: a marker for concomitant injury? A retrospective review of data in the National Trauma Database. J Trauma. Aug 2008;65(2):430-5. [Medline].
McAdams TR, Blevins FT, Martin TP, DeCoster TA. The role of plain films and computed tomography in the evaluation of scapular neck fractures. J Orthop Trauma. Jan 2002;16(1):7-11. [Medline].
Bartonicek J, Tucek M, Fric V. [Radiographic evaluation of scapula fractures]. Rozhl Chir. Feb 2009;88(2):84-8. [Medline].
Hart RG, Rittenberry TJ, Uehara DT. Handbook of Orthopaedic Emergencies. Lippincott-Raven; 1999:149-55.
Rosen P, Barkin R. Emergency Medicine: Concepts and Clinical Practice. Mosby Year Book; 2002:584-586.
Simon R, Koenigcknecht S. Emergency Orthopedics: The Extremities. Appleton and Lange; 1995:207-15.
Tintinelli J, Ruiz E, Krome R. Emergency Medicine: A Comprehensive Study Guide. McGraw-Hill; 2000:1784-1787.
Veysi VT, Mittal R, Agarwal S, Dosani A, Giannoudis PV. Multiple trauma and scapula fractures: so what?. J Trauma. Dec 2003;55(6):1145-7. [Medline].
Further Reading
Keywords
scapula, scapular fractures, acromion injuries, scapular neck fractures, glenoid rim fractures, glenoid fracture, stellate glenoid fractures, coracoid process fractures, coracoid fracture, shoulder girdle injuries
Differential Diagnoses & Workup: Fracture, Scapular