Operative Versus Nonoperative Treatment for Scapula Fractures

Multicenter Prospective Study of Operative and Non-operative Treatment for Scapula Fractures

The purpose of this study is to contrast and evaluate the functional outcome of patients with operative vs. nonoperative treatment of scapula fractures. The specific aim of this project is to monitor the return to function of patients in both the operative and nonoperative cohorts.

The potential impact is a clearer set of choices in treatment options for this type of injury.

Inclusion Criteria:

• 18 Years of Age or Older
• Displacement of glenoid neck and scapula body of greater than 2 cm
• Angular deformity between the fracture fragments of greater than 45 degrees.
• A combination of displacement greater than 1.5 cm AND angulation greater than 30 degrees
• A glenopolar angle less than 22 degrees
• A Double Lesion of the Superior Shoulder Suspensory Complex (SSSC)

Exclusion Criteria:

• Age Less Than 18 years Old
• Brachial Plexus Injury
• Traumatic Brain Injury or Cognitive Disability preventing participation in the consent or post injury rehabilitation
• Spinal cord injuries resulting in paraplegic, quadriplegic disabilities or permanent ipsilateral peripheral nerve damage
• Ipsilateral Upper Extremity Injury
• Previous Shoulder Surgery
• Insufficient English proficiency to complete the DASH Questionnaire