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Fracture of the Scapula with Intrathoracic Penetration. A Case Report*
J. MARK BLUE, M.D.†; JEFFREY O. ANGLEN, M.D.†; MARY ALICE HELIKSON, M.D.†, COLUMBIA, MISSOURI
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Investigation performed at the Orthopaedic Trauma Service, University of Missouri Hospitals and Clinics, Columbia
J Bone Joint Surg Am, 1997 Jul 01;79(7):1076-8
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Extract

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.
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    Topics

    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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