PURPOSE. The aim of this retrospective study was to report the scapular fractures in patients with blunt chest trauma and to present the type and the frequency of associated thoracic injuries. METHODS. Nine patients with fractures of the scapula were included in the study. The mechanisms of the injury, the type of scapular fractures and associated thoracic injuries were analyzed. RESULTS. Scapular fractures were caused by high energy blunt chest trauma. Body of the scapula was fractured in all scapular fractures. In all cases scapular fractures were associated with other thoracic injuries (average 3,25/per case). Rib fractures were present in eight patients, fractured clavicula -in four cases, affection of pleural cavity -in eight of the patients and pulmonary contusion in all nine cases. Eight patients were discharged from the hospital up to the 15 th day. One patient had died on the 3 rd day because of postcontusional lung edema. CONCLUSIONS. The study confirms the role of scapular fractures as a marker for the severity of the chest trauma (based on the number of associated thoracic injuries), but doesn't present scapular fractures as an indicator for high mortality in blunt chest trauma patients.
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