Fracture of the Scapula With Intrathoracic Penetration in a Skeletally Mature Patient

Surgical treatment of disloced fracture of the scapula column and glenoid: A 22-year follow-up

“…The degree of dislocation and the scope of ligament lesions strongly influence the decision whether to perform the osteosynthesis of the clavicula or not, and thus indirectly shorten the column of the scapula and attain the shoulder stability 6,17 . Scapula fractures are usually associated with hemopneumothorax, which was diagnosed in the presented patient, as well, while damage of the pulmonary parenchyma caused by the fragments of a fractured scapula is not so common [5][6][7]18 . Disrupture of the brachial plexus is also possible 19 , as reported here.…”

“…Most scapular fractures are caused by high-impact blunt injuries, and often are the results of motor vehicle accidents, falls from height etc. In 80% to 90% of cases, scapula fractures are associated with multiple injuries (clavicle fracture, rib fractures, humeral fracture, pulmonary injury, brachial plexus injury) 1,2,[5][6][7][8][9][10] .…”

Isolated Scapula Body Fracture with Intrathoracic Displacement: Description of a New Pattern of Injury

“…An unusual complication that implies a surgical indication in these fractures is the intrathoracic displacement of bone fragments. This condition is rare, especially in adults, and has been described occasionally in the bibliography, presenting well-defined fracture patterns [5][6][7][8]. In this case report, we describe a clinical case of scapular body fracture, as an isolated injury, with intrathoracic penetration of a fracture fragment with a morphology not previously described and which, in addition, occurs after a low energy trauma.…”

An unusual cause of subacromial impingement after traumatic intrathoracic displacement of the scapula

“…Splenic laceration. Schwartzbach et al 6 72-year-old pedestrian struck by a car Comminuted scapular fracture with intrathoracic impaction of the inferior fragment. Rib fracture.…”

“…2 Road traffic accidents account for the majority with half occurring in occupants of vehicles. 3 Intrathoracic displacement following a scapular fracture is a rare injury with only five cases reported in the literature, [4][5][6][7][8] of which only one 4 had no associated fracture of the scapula. We present a case of a 50-yearold woman who presented with symptoms of subacromial impingement after intrathoracic displacement of the inferior scapula following multiple rib fractures 31 years previously.…”