Executive Editor: Joseph Schatzker

Authors: Jonas Andermahr, Michael McKee, Diane Nam

Scapula Body and processes, body

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Glossary

General considerations

Absolute indication for operative treatment of the body of the scapula are open fractures. If a fracture pattern is such that it is directed towards the ribcage and causes irritation of the scapular thoracic articulation, such a fragment may have to be excised. Generally most other fractures are treated closed.

Nonoperative treatment
Main indication Skill Equipment
Provide mechanical support to begin shoulder movement Basic surgical experience, no specialized skills Basic equipment only


Advantages

  • No operative risks
  • No anaesthetic  risk

Disadvantage

  • Risk of non-union with associated pain

Contraindication

  • Near to penetration of the skin
  • Lesion of neurovascular structures
  • Extension of the fracture into the articular segment (In this case, the fracture should be addressed as and articular fracture)
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

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