• Tabet A Al-Sadek, Desislav Niklev, Ahmed Al-Sadek, and Lina Al-Sadek.
• Department of Orthopaedics and Traumatology, Belhoul European Hospital, Dubai, United Arab Emirates.
• Open Access Maced J Med Sci. 2016 Dec 15; 4 (4): 688-691.

AimThe aim of this retrospective study was to report the scapular fractures in patients with blunt chest trauma and to present the type and the frequency of associated thoracic injuries.Material And MethodsNine patients with fractures of the scapula were included in the study. The mechanisms of the injury, the type of scapular fractures and associated thoracic injuries were analysed.ResultsScapular fractures were caused by high-energy blunt chest trauma. The body of the scapula was fractured in all scapular fractures. In all cases, scapular fractures were associated with other thoracic injuries (average 3.25/per case). Rib fractures were present in eight patients, fractured clavicula - in four cases, the affection of pleural cavity - in eight of the patients and pulmonary contusion in all nine cases. Eight patients were discharged from the hospital up to the 15th day. One patient had died on the 3rd day because of postconcussional lung oedema.ConclusionsThe study confirms the role of scapular fractures as a marker for the severity of the chest trauma (based on the number of associated thoracic injuries), but doesn't present scapular fractures as an indicator for high mortality in blunt chest trauma patients.

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