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Immobilization in sling x 2 weeks then PT
53%
1028/1953
Immobilization in sling x 8 weeks then PT
7%
133/1953
ORIF via a deltopectoral approach
137/1953
ORIF via a posterior approach
32%
634/1953
ORIF via a lateral approach
1%
10/1953
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The radiographs are consistent with a extra-articular glenoid neck fracture, which by definition is not significantly displaced. These fractures are best treated with a sling (2 weeks) and early mobilization. Significantly displaced fractures, have translational displacement greater than or equal to 1 cm or angulatory displacement greater than or equal to 40°. These typically need ORIF. A schematic of the fracture types is shown in Illustration A. McGahan et al review the epidemiology of scapula fractures and advocate conservative treatment with early mobilization. Van Noort et al reviewed 13 scapular neck fractures and found that non-operative treatment in the absence of ipsilateral shoulder injury and associated neurological impairment lead to good functional outcomes, with or without significant translational displacement of the fracture.
3.9
(31)
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