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Non-Union of the Scapular Body. A Case Report*
RANJAN GUPTA, M.D.†; JERRY SHER, M.D.†; GERALD R. WILLIAMS, JR., M.D.†; JOSEPH P. IANNOTTI, M.D., PH.D.†, PHILADELPHIA, PENNSYLVANIA
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Investigation performed at the Shoulder and Elbow Service, Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia
J Bone Joint Surg Am, 1998 Mar 01;80(3):428-30
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Numerous authors have reported on the relative rarity of scapular fractures, the high association between such fractures and other injuries, and the infrequent necessity of operative treatment1,6-8,10,13,14. Non-operative treatment is routinely recommended for most, if not all, fractures of the scapular body10,11,15. Non-union of such a fracture is a relatively rare complication. Although there have been reports of non-unions involving the base of the coracoid process, the scapular spine, and the acromion1,11,12,15, we were unable to find a reported case of symptomatic non-union of the scapular body. We report the case of a patient who had pain and scapular dysfunction due to a non-union of the body of the scapula, which was successfully treated with open reduction and internal fixation with local bone-grafting.
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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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