Scapula fractures (upper extremity)

A 25-year-old male lost control while riding a moped and fell landing on his outstretched left upper extremity.

He was taken to a local hospital and radiographs revealed a complex comminuted left-sided scapula fracture with extension into the glenoid and an associated mid-shaft clavicle fracture.

Open Reduction and Internal Fixation (ORIF) for the clavicle fracture was performed at the outside hospital using a plate placed on the superior aspect of the clavicle.

He was then transferred to the care of David L. Helfet, MD at the Orthopaedic Trauma Service of the Hospital for Special Surgery for definitive management of his scapula fracture. ORIF was performed for his scapula fracture with placement of multiple mini-fragment plates and screws including inter-fragmentary lag screws.

He continued to return for regular follow-up and his fractures healed uneventfully and at 1 year following fracture surgery his results are excellent including healed scapula and clavicle fractures, full resolution of pain and range of motion, and a return to all his pre-injury activities.

  • Figure A

    Figure A

    Anteroposterior (AP) and lateral radiographs illustrating a complex comminuted left-sided scapula fracture with extension into the glenoid and an associated mid-shaft clavicle fracture.

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  • Figure B

    Figure B

    3D reformatted CT scan images further delineate the fracture pattern.

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  • Figure C

    Figure C

    Radiographs at 1 year revealing healed scapula and clavicle fractures in excellent alignment.

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David L. Helfet, MD

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New York Fracture Care

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