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Spine fracture
3%
141/5164
Rib fracture
87%
4483/5164
Clavicle fracture
6%
317/5164
Humerus fracture
1%
35/5164
Pelvic fracture
166/5164
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Rib fractures are the most commonly observed fractures associated with scapular fractures. Scapular fractures are associated with high-energy trauma, with motor vehicle collisions being a common mechanism of injury. These fractures are also associated with increased Injury Severity Scores and therefore clinicians need to be cognizant of concomitant injuries. In addition to associated orthopaedic injuries, pulmonary injuries (contusions, hemothorax, and pneumothorax) and head injuries are associated with scapular fractures. A CT chest should be considered in patients with scapula fractures, to best visualize associated rib fractures and pulmonary injuries. Baldwin et al. conducted a retrospective case control analysis using the US National Trauma Database that included 9,453 scapular fractures. In their study, the most commonly associated fractures were rib fractures (52.9%), followed by fractures of the spine (29.2%), clavicle (25.2%), and pelvis (15.3%). Lung and head injuries occurred in 47.1% and 39.1% of the cases, respectively. Incorrect Answers: Answers 1, 3, 4, 5: Although these fractures do occur in association with scapular fractures, Baldwin et al demonstrated that they do not occur as frequently as rib fractures.
4.8
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