Scapular Fractures

David V. Lopez

Robert L. Kalb

Fractures of the scapula represent an uncommon injury. The rib cage, thick soft tissue covering, and its mobility help to explain this. The anatomic regions that may be injured include the scapula body and spine, glenoid neck, glenoid cavity (Fig. 1), and the acromial and coracoid processes.

MECHANISM OF INJURY

Scapula fractures are usually caused by high-energy trauma. Direct forces are most often the cause, although indirect mechanisms, such as a fall on the arm, may produce a fracture. There is a high incidence of associated injuries.

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