Scapular fracture - Revision history

Rossdonaldson1: /* Evaluation */

2021-04-10T13:21:45Z

Evaluation

← Revisión anterior		Revisión del 13:21 10 abr 2021
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	[[File:PMC3259405 13244 2011 72 Fig28 HTML.png\|thumb\|Sagittal reconstructed CT image showing multiple fractures of the left scapula.]]		[[File:PMC3259405 13244 2011 72 Fig28 HTML.png\|thumb\|Sagittal reconstructed CT image showing multiple fractures of the left scapula.]]
	[[File:ScapulaFracture.png\|thumb\|A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan.]]		[[File:ScapulaFracture.png\|thumb\|A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan.]]
	*~~Dedicated~~ scapular series (AP, lateral, axillary) will identify most fractures		===Workup===
			*CT chest with contrast (trauma protocol)

			===Diagnosis===
			*While a dedicated scapular series (AP, lateral, axillary) will identify most fractures, CT chest is typically indicated to exclude other injuries.

	==Management==		==Management==

2021-04-10T13:20:27Z

Evaluation

← Revisión anterior		Revisión del 13:20 10 abr 2021
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	==Evaluation==		==Evaluation==
	[[File:FracturedGlenoid.png\|thumb\|X-ray showing a fracture of the scapula and clavicle.]]		[[File:FracturedGlenoid.png\|thumb\|X-ray showing a fracture of the scapula and clavicle.]]
	[[File:PMC3259405 13244 2011 72 Fig28 HTML.png\|thumb\|Sagittal reconstructed CT image showing multiple fractures of the left scapula ~~(arrows)~~.]]		[[File:PMC3259405 13244 2011 72 Fig28 HTML.png\|thumb\|Sagittal reconstructed CT image showing multiple fractures of the left scapula.]]
	[[File:ScapulaFracture.png\|thumb\|A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan.]]		[[File:ScapulaFracture.png\|thumb\|A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan.]]
	*Dedicated scapular series (AP, lateral, axillary) will identify most fractures		*Dedicated scapular series (AP, lateral, axillary) will identify most fractures

2021-04-10T13:19:58Z

Evaluation

← Revisión anterior		Revisión del 13:19 10 abr 2021
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	==Evaluation==		==Evaluation==
	[[File:FracturedGlenoid.png\|thumb\|X-ray showing a fracture of the scapula and clavicle.]]		[[File:FracturedGlenoid.png\|thumb\|X-ray showing a fracture of the scapula and clavicle.]]
			[[File:PMC3259405 13244 2011 72 Fig28 HTML.png\|thumb\|Sagittal reconstructed CT image showing multiple fractures of the left scapula (arrows).]]
	[[File:ScapulaFracture.png\|thumb\|A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan.]]		[[File:ScapulaFracture.png\|thumb\|A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan.]]
	*Dedicated scapular series (AP, lateral, axillary) will identify most fractures		*Dedicated scapular series (AP, lateral, axillary) will identify most fractures

2020-06-16T17:15:18Z

Disposition

← Revisión anterior		Revisión del 17:15 16 jun 2020
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	==Disposition==		==Disposition==
			*Typically discussed with orthopedic specialist with in ED
			*If no other injuries of significance, may be discharged home

			===Sub-Specialty Care===
			Indications for surgery:
			*Glenohumeral instability
			*Displaced scapular neck fracture
			*[[Open fracture]]
			*Loss of rotator cuff function
			*Displaced coracoid fracture

	==See Also==		==See Also==

2020-06-16T17:12:57Z

Management

← Revisión anterior		Revisión del 17:12 16 jun 2020
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	==Management==		==Management==
			{{General Fracture Management}}

			===Specific Management===
	*Rule-out other injuries		*Rule-out other injuries
	**Low threshold for additional CT imaging or obs		**Low threshold for additional CT imaging or obs

2020-06-16T16:52:31Z

Background

← Revisión anterior		Revisión del 16:52 16 jun 2020
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	**Fractures of body and glenoid are most common		**Fractures of body and glenoid are most common
	*>75% are associated with other injuries (ribs, lung, shoulder girdle)		*>75% are associated with other injuries (ribs, lung, shoulder girdle)
			*Association with [[thoracic aortic injury]] classically taught, but actually <1% association in clinical practice

	==Clinical Features==		==Clinical Features==

2020-06-16T16:47:09Z

← Revisión anterior	Revisión del 16:47 16 jun 2020
(Sin diferencias)

2020-06-13T22:45:45Z

← Revisión anterior		Revisión del 22:45 13 jun 2020
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	==Background==		==Background==
	[[File:Gray205 left scapula lateral view.png\|thumb\|Scapula anatomy.]]		[[File:Gray205 left scapula lateral view.png\|thumb\|Scapula anatomy.]]
			[[File:Gray203.png\|thumb\|Scapula anatomy.]]
	*Occurs via direct trauma to shoulder area or FOOSH		*Occurs via direct trauma to shoulder area or FOOSH
	**Fractures of body and glenoid are most common		**Fractures of body and glenoid are most common

2020-06-13T22:23:49Z

← Revisión anterior		Revisión del 22:23 13 jun 2020
Línea 1:		Línea 1:
	==Background==		==Background==
	[[File:~~ScapulaFracture~~.png\|thumb\|~~A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan~~.]]		[[File:Gray205 left scapula lateral view.png\|thumb\|Scapula anatomy.]]
	*Occurs via direct trauma to shoulder area or FOOSH		*Occurs via direct trauma to shoulder area or FOOSH
	**Fractures of body and glenoid are most common		**Fractures of body and glenoid are most common
Línea 14:		Línea 14:
	==Evaluation==		==Evaluation==
	[[File:FracturedGlenoid.png\|thumb\|X-ray showing a fracture of the scapula and clavicle.]]		[[File:FracturedGlenoid.png\|thumb\|X-ray showing a fracture of the scapula and clavicle.]]
			[[File:ScapulaFracture.png\|thumb\|A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan.]]
	*Dedicated scapular series (AP, lateral, axillary) will identify most fractures		*Dedicated scapular series (AP, lateral, axillary) will identify most fractures

2020-06-13T22:21:45Z

Background

← Revisión anterior		Revisión del 22:21 13 jun 2020
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:ScapulaFracture.png\|thumb\|A right sided scapula fracture with rib fractures underneath seen on a 3D reconstruction of a CT scan.]]
	*Occurs via direct trauma to shoulder area or FOOSH		*Occurs via direct trauma to shoulder area or FOOSH
	**Fractures of body and glenoid are most common		**Fractures of body and glenoid are most common