[Surgical treatment of scapular fractures]

Scapular fracture is not very common,which typically occur in patients who have sustained high-energy direct injury to the shoulder. Eighty to ninety-five percent of patients with scapular fractures have been associated with multi-injuries. The physical examination should uncover injuries to the brachial plexus,axillary artery as well as ipsilateral musculoskeleton. The goal of treatment for scapular fractures is to restore an effective and functional joint without pain. Displaced intra-articular glenoid fracture,double disruptions of the shoulder suspensory complex, floating shoulder injury, significant angulation and displacement of the scapular neck should undergo surgical treatment. Fracture fixation must be stability that allows early motion of shoulder. After operation, patients should insist on functional exercises of shoulder until union of fracture was solid.