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The Journal of Bone and Joint Surgery 79:1076-8 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Case Report

Fracture of the Scapula with Intrathoracic Penetration. A Case Report*

J. MARK BLUE, M.D.{dagger}, JEFFREY O. ANGLEN, M.D.{dagger} and MARY ALICE HELIKSON, M.D.{dagger}, COLUMBIA, MISSOURI

Investigation performed at the Orthopaedic Trauma Service, University of Missouri Hospitals and Clinics, Columbia


   Introduction
 
Fracture of the scapula is a rare injury in adolescents. The most common etiology is a motor-vehicle accident or another type of high-velocity blunt trauma. There is a high prevalence of associated injuries, many of which may be life-threatening. Operative treatment has been recommended only in the case of a displaced fracture of the glenoid neck or step-off within the glenohumeral joint. We report an additional operative indication: a fracture of the body of the scapula with penetration of the thoracic cavity by a fracture fragment. Our search of the literature did not reveal any previous report of this injury.


   Case Report
 
A thirteen-year-old boy was struck by a dump truck while riding a bicycle. He lost consciousness and was hypotensive at the scene of the accident. A pneumothorax was diagnosed on arrival to the hospital. After endotracheal intubation and placement of a chest tube, the patient was transferred to the University . . . [Full Text of this Article]


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C. C. Schwartzbach, H. Seoudi, A. E. Ross, K. Hendershot, L. Robinson, and A. Malekzadeh
Fracture of the Scapula with Intrathoracic Penetration in a Skeletally Mature Patient. A Case Report
J. Bone Joint Surg. Am., December 1, 2006; 88(12): 2735 - 2738.
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