J Korean Shoulder Elbow Soc.  2008 Dec;11(2):150-157.

Surgical Treatment of the Fracture of the Scapular Body

• Rhyou IH
• Suh BG
• Chung C
• Kim KC

Abstract

PURPOSE: We wanted to evaluate the results of surgical treatment for fracture of the scapular body
MATERIALS AND METHODS
The subjects of this study were seven patients with fracture of the scapular body and all these patients were managed surgically. We considered the operative indications as being 100% translation of the lateral border, or 25 degrees of angular deformity of the glenoid, or 1cm medialization or the variant of the double disruption of the superior scapular suspensory complex. There were five males and two females, and their ages ranged between 40 and 58 years (mean age: 49) with average follow up of 11 months (6~24 months). Two patients sustained multiple fractures of the ribs and spines. The surgical results were evaluated according to the subjective satisfaction, the UCLA score and the Korean shoulder score.
RESULTS
The mean UCLA score was 29 (17~33) and the mean Korean shoulder score was 86 (63~94). The self assessment for subjective satisfaction was 7.7 (4~9). There were two complications; one case of screw pull-out without the loss of the fracture fixation and the other case with screw penetration of the glenoid cavity.
CONCLUSION
Surgical treatment may be effective for the management of severely displaced fracture of the scapular body in order to prevent the impairment of the shoulder function caused by the altered glenohumeral and scapulothoracic kinematics.

Keyword

Shoulder; Scapular body; Fracture; Surgical treatment

MeSH Terms

Congenital Abnormalities
Female
Follow-Up Studies
Fracture Fixation
Humans
Male
Ribs
Self-Assessment
Shoulder
Spine