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VOLUME 9 , ISSUE 3 ( November, 2014 ) > List of Articles

CASE REPORT

Pseudo-arthrosis of the spine of the scapula: a case report with a delayed diagnosis

Cem Copuroglu, Levent Tan, Elif Copuroglu, Mert Ciftdemir, Mert Ozcan

Keywords : Pseudo-arthrosis, Scapula, Late diagnosis

Citation Information : Copuroglu C, Tan L, Copuroglu E, Ciftdemir M, Ozcan M. Pseudo-arthrosis of the spine of the scapula: a case report with a delayed diagnosis. 2014; 9 (3):173-177.

DOI: 10.1007/s11751-014-0210-2

License: CC BY-NC-SA 4.0

Published Online: 30-11-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Scapular spine fractures are rare injuries. The aim of this study was to evaluate a late-diagnosed scapular spine pseudo-arthrotic patient. Because of the surrounding soft tissue mass and overlapping of the scapula with the thoracal bones on a roentgenogram, diagnosis may be missed or delayed for years. We present a case of scapular spine pseudo-arthrosis in a 50-year-old man, who sustained a traffic accident 2 years ago. He was treated as a soft tissue injury of the left shoulder and later as a rotator cuff tear. His scapular spine fracture was diagnosed as pseudo-arthrosis of the scapular spine with a diagnostic delay of 2 years. Isolated scapular spine fractures are rare, usually associated with other injuries and frequently treated non-operatively. Sagging of the acromion as a result of a scapular spine fracture may mimic supraspinatus outlet impingement. If a painful pseudo-arthrosis limits the function of a shoulder, fractured ends should be fixed until union occurs. Although scapular spine fractures are rarely seen, they must take place in the differential diagnosis of impingement syndromes of the shoulder.


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