Scapula and Clavicular fractures

1. What other significant injuries may be associated with a scapula fracture? How is it diagnosed?
2. What is the treatment for a scapula fx?
3. How are clavicular fractures classified?
4. What is the treatment of clavicular fx?

Answers:
1. Rib fx, pulmonary pathology (contusion, ptx) is associated with scapula fx. It is diagnosed by plain films (AP, lateral (scapular Y), and axillary) or CT.
2. Closed treatment for nondisplaced fx (sling, early ROM within 1-2 wks). ORIF for large displaced fragments.
3. By location: proximal, middle, or distal thirds.
4. Conservative treatment for most fxs. If >1cm displacement of lateral clavicle at AC jt, do closed reduction and figure 8 sling immobilization 3-6wks.