1. Describe the function of the scapula as a dynamic stabilizer at the shoulder girdle.
2. Discuss the imaging, injury mechanism(s), classification, and management of complex intra-articular glenoid fractures requiring open reduction internal fixation (ORIF)
3. Recognize signs of trauma to the superior shoulder suspensory complex (SSSC) that result in uncommon unstable floating shoulder injuries.
4. Define rare isolated extra-articular scapular fractures that require ORIF.
Biomechanics of the scapula at the shoulder girdle
Brief review of common indications for ORIF following scapular fracture
Management, classification and imaging examples of complex intra-articular glenoid fracture
- Isolated
- Combined intra-articular + extra-articular scapular fracture patterns
- Associated shoulder dislocation injuries
Review of uncommon unstable floating shoulder injuries
- Scapular neck + clavicle fractures
- Scapular fracture + ligamentous injury
- Double SSSC injuries with associated intra-articular fracture
- Double SSSC injuries with associated scapular developmental anomalies
Case examples of rare isolated extra-articular scapular fracture
- Severely displaced coracoid process fracture
- Severely displaced acromion process fracture
- Angled acromion process fracture with impingement on rotator cuff
Ropp, A,
Davis, D,
Broken Wings: Preoperative Imaging Indications for Open Reduction Internal Fixation of Scapular Fractures. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14010688.html