Treatment options and outcomes for delayed scapular anatomical neck fractures: a case report and review of the  literature

ConclusionsThe most accurate radiographic indicators of these fractures are a superior fracture line located laterally to the coracoid process, a small inferior spike, and an elevated glenopolar angle. The only tendon attached to the glenoid is the long head of the triceps, making these fractures unstable; therefore, surgery is required in the majority of instances. The small size of the fractured component makes stabilization more difficult. Overall, anatomical scapular neck fractures are extremely uncommon and distinguished from other scapular fractures by their unique radiological and biomechanical characteristics. This case highlights the challenges encountered when managing scapular fractures in patients with morbid obesity. The delayed surgical intervention and the choice of surgical approach tailored to the patient ’s specific anatomical and physiological considerations proved to be effective in achieving a favorable outcome.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research