Introduction. Most scapular fractures are caused by highimpact blunt
injuries, often as the result of motor vehicle accidents, fall from height,
etc. In 80% to 90% of cases, scapula fractures are associated with multiple
injuries (clavicle fracture, rib fractures, humeral fracture, pulmonary
injury, brachial plexus injury). Case report. We presented scapular fracture
in a 27-years-old male who had sustained a workrelated injury when a ground
soil brick machine pressed him. Fracture line was identified on radiotherapy
and computed tomography scan from the distal scapular angle enclosing
scapular neck. The whole lateral part of the scapula was dislocated laterally
from the scapular body. Scapular fracture was treated operatively. The
posterior approach was used for reposition, while for fixation after
reposition we used two Blunt clamps. We presented functional outcome 22 years
after the injury and the surgical treatment. The patient can perform all
physical activities, still works, and there is no need to remove the
ostheosynthetic material as it causes no discomfort nor problems. The
strength of the shoulder muscles is estimated as physician as the grade 5.
Conclusion. Displaced intraarticular fractures of the scapula should be
treated operatively, with open reduction and internal fixation.
Surgical treatment of disloced fracture of the scapula column and glenoid: A 22-year follow-up
