What is the most likely place for the scapula to fracture?
The scapula has a body, neck, and spine; any of these may be fractured. The most commonly injured areas are the scapular body, spine, neck, and glenoid rim; the scapular body or neck is injured in about 80% of cases.
What is scapular spine fracture?
Topic. Scapula Fractures are uncommon fractures to the shoulder girdle caused by high energy trauma and associated with pulmonary injury, head injury, and increased injury severity scores.
How is a scapular fracture diagnosed?
Symptoms of fractured scapula
- Localized pain at rest.
- Extreme pain when moving the arm.
- Tenderness.
- Swelling around the back of the shoulder.
- Severe bruising and scrapes around the affected area.
- Holding injured arm close to the body where shoulder is in 90-90 degree position with elbow with shoulder internal rotation.
Why is the scapula not commonly fractured compare to the clavicle?
Scapula fractures are uncommon because the scapula is protected by the chest and shoulder muscles. Significant force is needed for a fracture to occur. Therefore a complete medical assessment should be performed to ensure that there are no additional injuries.
Where is the Spinoglenoid notch?
of scapula
The spinoglenoid notch is located between the base of the spine of scapula and the glenoid process of the scapula that connects the infraspinatus fossa with the supraspinatus fossa, as a passage for the suprascapular nerve and artery, bounded by the inferior transverse scapular ligament (spinoglenoid ligament).
What is the most reliable indicator of an underlying fracture?
The MOST reliable indicator of an underlying fracture is: point tenderness.
How is a broken scapula fixed?
Medical Treatment
Most fractures of the body of the scapula are treated without surgery. Ice is used for swelling, and pain medications are used for pain control. The shoulder is immobilized in a shoulder sling for 3-4 weeks until the pain goes away.
Does shoulder xray show scapula?
A normal shoulder X-ray will show the bones that make up this ball-and-socket joint: Humerus (upper arm bone). Scapula (shoulder blade), which connects to the humerus. Acromion (a piece of bone that projects off the scapula).
Why is the scapula rarely fractured?
Scapular fractures are uncommon, accounting for less than 1 percent of all fractures. This may be because they typically result from high-energy trauma which often occurs with multi-system injuries.
How hard is it to fracture your scapula?
According to the American Association of the Orthopaedic Surgeons, they make up less than 1 percent of all broken bones in the United States each year. Because it’s so hard to break a shoulder blade, fractures are usually caused by major traumas, such as car or motorcycle crashes, sports accidents, or extreme falls.
What is suprascapular notch?
The supra scapular notch is situated in the lateral part of the superior border of the scapula, adjacent to the base of the coracoid process. The notch is converted into a foramen by the transverse scapular ligament and it serves as a passage for the suprascapular nerve.
What passes through suprascapular notch?
The suprascapular nerve passes through the notch on its course over the scapula to the dorsal shoulder. The superior transverse scapular ligament passes over the notch and attaches to the base of the coracoid process.
Does bone density increase after fracture?
Breaking a bone causes bone density losses throughout the body, not just close to the site of the fracture, and primarily around the time of the fracture, two new studies from UC Davis Health show. The studies are among the first to associate fractures with systemic bone loss.
What is the most fractured human bone?
Here are the five most commonly-fractured bones.
- Clavicle. The clavicle, more commonly called the “collarbone”, is one of the most frequently fractured bones in the body.
- Arm. The arm is actually composed of three bones: the humerus, or upper arm, and the radius and ulna, which compose the forearm.
- Wrist.
- Hip.
- Ankle.
Does a fractured scapula require surgery?
Most fractures of the scapula can be treated without surgery. Treatment involves immobilization with a sling or a shoulder immobilizer, icing and pain medications. The sling is usually kept for comfort for the first two weeks with subsequent increase of the shoulder’s range of motion.
Can broken scapula be repaired?
Surgical Treatment for Scapula Fractures
Surgeons may recommend an operation to fix the broken scapula if the glenoid or scapular neck is injured. In addition, if the clavicle is also fractured, either the clavicle, scapula or both can require operative fixation. The scapula can be fixed with plates and screws.
What do they do for a fractured scapula?
How do you sleep with a broken scapula?
Holding the broken bone above your heart prevents blood from pooling and causing swelling. First, try sleeping on your back while supporting yourself on several pillows. If this doesn’t help, adjust slowly to the side position if possible. Sleep in the middle of the bed, so you don’t fall in the middle of the night.
How serious is a scapula fracture?
This can be in the form of car accidents or falls. This fracture type is generally treated in non-surgical ways. However, they may require surgery in some instances depending on its severity. Shoulder blade fractures can often result in severe injuries to the chest, lungs, and internal organs.
How long does it take a fractured scapula to heal?
You have sustained a fracture to your scapula (shoulder blade). This normally takes between 6-12 weeks to unite (heal).
What is the spinoglenoid notch?
The spinoglenoid notch is located between the base of the spine of scapula and the glenoid process of the scapula that connects the infraspinatus fossa with the supraspinatus fossa, as a passage for the suprascapular nerve and artery, bounded by the inferior transverse scapular ligament (spinoglenoid ligament).
Which nerve passes through the Suprascapular notch?
the suprascapular nerve
The supra scapular notch is situated in the lateral part of the superior border of the scapula, adjacent to the base of the coracoid process. The notch is converted into a foramen by the transverse scapular ligament and it serves as a passage for the suprascapular nerve.
What structures pass through scapular notch?
The suprascapular nerve passes through the notch on its course over the scapula to the dorsal shoulder. The superior transverse scapular ligament passes over the notch and attaches to the base of the coracoid process. The suprascapular artery passes over the ligament.
What passes through the spinoglenoid notch?
The suprascapular nerve and artery passes through the notch on their course over the scapula.
Do steroids help bones heal?
They also seem to exert mild inhibition of the bone resorption without affecting or even stimulating the bone formation. Thus, anabolic steroids will definitely improve the fracture healing outcome and reduce the morbidity and the negative socio-economic impact.