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Fracture of the Scapula with Intrathoracic Penetration in a Skeletally Mature PatientA Case Report
Cary C. Schwartzbach, MD1; Hani Seoudi, MD2; Amy E. Ross, MD3; Kimberly Hendershot, MD2; Linda Robinson, MA, MS2; Alireza Malekzadeh, MD1
1 8503 Arlington Boulevard, 200, Fairfax, VA 22031
2 Inova Fairfax Hospital, 3300 Gallows Avenue, Falls Church, VA 22042. E-mail address for L. Robinson: Linda.robinson@inova.com
3 Walter Reed Army Medical Center (WRAMC), 6900 Georgia Avenue, Northwest, Washington, DC 20307
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research for or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at Inova Fairfax Hospital, Falls Church, Virginia

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2006 Dec 01;88(12):2735-2738. doi: 10.2106/JBJS.F.00516
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To our knowledge, intrathoracic displacement of a fractured scapula has only been described in two reports involving adolescents1,2. We present the case of a skeletally mature adult with a scapular fracture that penetrated the thoracic cage without causing a pneumothorax. We speculate as to how the adult scapula can deform in a manner consistent with this rare injury. As the patient had advanced Alzheimer disease, the family consented to the publication of data concerning this case.
Figures in this Article


    fracture ; scapula

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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