Surgical indications for scapula fractures A case series.

Abstract

Introduction: Scapula fractures are considered relatively uncommon and are usually treated conservatively. However, in complex or displaced cases, surgical intervention may be necessary. A series of complex cases requiring surgery is presented.

Methods: A retrospective observational study of 5 patients with scapula fractures treated at Alcívar Hospital between August 2018 and April 2024 was conducted. All five underwent surgery. X-rays and computed tomography scans were performed, and the Cole criteria were applied to determine the indication for surgery. Functional outcomes were assessed using the DASH score.

Results: The incidence of surgically treated scapula fractures was approximately 0.885 cases per 100 person-years. The operated patients showed satisfactory functional outcomes in short- and medium-term follow-up. Discussion: The results are consistent with the existing literature, which suggests that surgical intervention is typically reserved for complex or displaced fractures. The postoperative functional assessment was favorable, supporting the effectiveness of appropriate surgical selection.

Conclusions: The incidence of surgically treated scapula fractures is low, and the postoperative functional results are satisfactory, making it beneficial for young patients with high functional demands. A treatment protocol was developed based on clinical and radiological criteria.