The scapula is sturdy and located in a protected place, so it rarely breaks. When it does (click on the x-ray to enlarge), it is an indication that the individual was subjected to a considerable amount of force and that a chest injury is present [14].
How are scapular fractures most commonly caused?
Direct falls on to the back, especially involving force are the most common cause, such as being thrown from a horse. The injury may not be noticed because it may be accompanied by other, more severe injuries. Diagnosis may require a skyline view.
How would you treat the fracture?
Treatment involves pain control and immobilizing the affected area and, subsequently, physiotherapy.