Operative Fixation of Extra-articular Scapula Body Fracture Through a Modified Judet Approach
Sanjit R Konda1,2, Sara Jo Solasz1, Abhishek Ganta1,2
1Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, NY; and.
Summary:
We present the case of a 53-year-old male laborer who slipped and fell on ice and had acute right shoulder pain. Plain radiographs and a computed tomography scan of the scapula were obtained that demonstrated a comminuted and displaced extra-articular scapula body fracture with approximately 2 cm of medialization of the glenoid. The anatomy, examination, diagnosis, and surgical approach options are reviewed. In this case, open reduction and internal fixation of the scapula is performed through a modified Judet approach. At the 3-month postoperative visit, radiographs demonstrated a healed scapula fracture. The patient was allowed to return to work as a laborer. A modified Judet approach can be performed for surgical fixation of comminuted and displaced extra-articular scapula body fractures with excellent clinical results.
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