ABSTRACT

Scapular fractures result mostly from high-energy trauma and are often found in younger patients. Comparison of our groups of patients with a fracture of the scapula, the ankle, the distal radius, the proximal humerus or the proximal femur shows that the group with a scapular fracture had the lowest average age and the highest proportion of men versus women. The suprascapular nerve passes under the superior trans-verse scapular ligament, and travels together with the suprascapular artery and vein along the supraspinous fossa. The diagnostic procedure in patients with scapular injuries depends on their general condition. Radiological examination is essential to the diagnosis of scapular fractures, the determination of the fracture patterns and the treatment procedure. In displaced extra-articular fractures of the processes, particularly the coracoid, acromion and scapular spine, which give attachments to prominent muscles and ligaments, the aim is to achieve healing in an anatomical position, to avoid compromise of the rotator cuff.