Scapular body nonunion: A case report

Fracture of the scapular body: Functional outcome after conservative treatment

“…4,6,16 In all 3 patients, symptoms included pain and shoulder dysfunction. Successful treatment was achieved by open reduction and internal fixation with local bone grafting.…”

“…5,8 Three cases have been reported of pseudoarthrosis after conservative treatment of scapular body fractures that required open reduction and internal fixation. 4,6,16 Early passive and assisted active motion exercises are assumed to assist the muscle-induced self-reposition of fragments. 11 Even in malposition, healed scapular body fractures are reported to show generally good results.…”

AC Dislocations, SC Dislocations, and Scapula Fractures

“…Nonoperative management of scapular body fractures can be complicated by nonunion and symptomatic malunion (Ferraz et al 2002;Martin and Weiland 1994;Michael et al 2001). Nonunions can be treated with good to excellent results by performing ORIF.…”

Case Report: Reconstruction of a Recalcitrant Scapular Neck Nonunion and Literature Review

“…A 2008 English-language search of the medical literature discovered only 15 cases of scapula nonunion after nonoperative management. These reported cases included four body fractures [11,13,16,25], five acromion fractures [8,9,26,27,29], three scapular spine fractures [1,4,31], two coracoid fractures [12,29], and one report of a nonunion involving the scapular body, spine, and coracoid process [5].…”

“…However, in the patient with pain, deformity, and/or shoulder dysfunction, surgical management may be indicated. Isolated case reports of symptomatic scapular body nonunions treated with open reduction and internal fixation (ORIF) and local bone grafting have consistently described good outcomes, reporting complete radiographic healing with pain-free restoration of function and no loss of power in the muscles of the shoulder girdle [11,13,25] (Table 1). There is also one report of partial body excision for ununited segments [16].…”