ABSTRACT
Surgery Report The patient was placed in the right lateral recumbent position and an approach to the body, spine, and acromion process of the scapula was performed. In order to expose the fracture, a partial elevation of the omotransversarious and acromial part of the deltoideus muscles was performed from the spine and acromion of the scapula. Fibrous tissue was removed from the fracture ends and the fracture was reduced and maintained in reduction with pointed reduction forceps. A 7-hole, 2.7 mm locking plate was contoured and applied to the scapula. The two most distal screws engaged the supraglenoid aspect of the fracture and the four proximal screws were positioned to penetrate the scapula at the angle of the spine and blade, taking advantage of dense bone at this location. Screw hole 5 was left open because of its location over a fracture line. The approach was closed routinely and the patient was placed in a spicca splint for 2 weeks.
