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Bilateral scapular fractures in adults.
Michal Tuček1, Jan Bartoníček, Pavel Novotný
1Department of Orthopaedic Trauma of 1st Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
International Orthopaedics
|February 26, 2013
Summary
Bilateral scapular fractures are rare, often resulting from direct trauma. Early diagnosis with computed tomography (CT) is crucial for effective management of these complex injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Radiology
Background:
- Bilateral scapular fractures are exceptionally rare injuries.
- Historically, they are predominantly associated with high-energy mechanisms like electrical shock or epileptic seizures.
- This study focuses on traumatic bilateral scapular fractures, particularly those resulting from direct violence.
Observation:
- Six new cases of bilateral scapular fractures caused by direct violence were treated between January 2011 and August 2012.
- These cases, combined with 11 from literature, bring the total to 17.
- High-energy trauma was the cause in five of the new cases, with bilateral scapular body fractures being common.
Findings:
- The scapular body is the most frequently fractured site (24/34 fractures), followed by the glenoid fossa (12/34 fractures).
- Computed tomography (CT), including 3D reconstructions, is vital for diagnosing these injuries.
- Direct violence accounts for a significant proportion of traumatic bilateral scapular fractures.
Implications:
- The incidence of bilateral scapular fractures may be underestimated.
- Clinicians should consider bilateral scapular fractures in patients with polytrauma.
- Advanced imaging like CT is essential for accurate diagnosis and treatment planning.
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