Podcast 671: Scapula Fractures

<p><strong>Contributor:  Adam Barkin, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Represents less than 1% of all fractures that occur, although it has a significant mortality rate of 2-5%</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Typically occurs in high-energy trauma and are commonly associated with high injury severity scores and other fractures</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Concomitant Injuries:</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">50% have rib fracture</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">25% have clavicle fracture</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">30% have a spine fracture</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">5% have a brachial plexus injury</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">40% have a pulmonary contusion</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">30% have a pneumothorax</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">34% have a head injury</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">11% have a vascular injury</span></li> </ul> </li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Cole PA, Freeman G, Dubin JR. Scapula fractures. Curr Rev Musculoskelet Med. 2013;6(1):79-87. doi:10.1007/s12178-012-9151-x</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that