ABSTRACT

Scapula and glenoid fractures are the least common osseous injuries involving the shoulder girdle (1,2,19). The scarcity is a result of the mobility of the scapulothoracic articulation and the substantial soft tissue envelope surrounding the shoulder. The majority of these fractures are minimally displaced and managed nonoperatively. Due to the relative rarity of the more severely displaced injuries, it is difficult for any individual or institution to gain significant experience in their operative management. As a result, the indications for the operative management of these injuries remain poorly defined and an area of ongoing research. This chapter will focus on the operative techniques used in the management of these uncommon, challenging injuries.