Abstract
A specific treatment protocol for managing scapular spine fractures does not currently exist. The purpose of our report is to describe this type of injury and detail our treatment management in order to better elucidate this rare pathology. We present a case of a 26-year-old female with an acute scapular spine and base fracture after a motor vehicle collision. Successful treatment of an acute free-floating scapular spine fracture was achieved with open reduction and internal fixation utilizing an elbow plate. Since scapular spine fractures are an unfortunate, rare injury, it may impose difficult challenges to the treating surgeon. With our case report, we hope to contribute to the overall knowledge of scapular spine fractures and offer our experience with a successful and appropriate treatment option in our patient.
Highlights
Acute scapula fractures are a rare injury accounting for 3-5% of fractures of the shoulder girdle and occurring at a rate of 0.7% for all fractures [1]
Scapular spine fractures are a rare subset accounting for only 6% of all scapula fractures and generally healed with conservative management [4, 5]
We present a case of a 26-year-old female with a fracture of the scapular body and spine with extension into the base of the acromion
Summary
Acute scapula fractures are a rare injury accounting for 3-5% of fractures of the shoulder girdle and occurring at a rate of 0.7% for all fractures [1]. These injuries are generally a result of high-energy mechanisms, such as motor vehicle collisions, and are often associated with other upper extremity, thoracic, or pelvic ring injuries [2]. The most common scapula fractures involve the neck or the body, which represents twothirds of all scapula fractures [3]. We present a case of a 26-year-old female with a fracture of the scapular body and spine with extension into the base of the acromion. Our case may shed light on what we believe is the first documented case report of freefloating scapular spine fracture, with consideration of a potential treatment option
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