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Scapular fracture is present in about 1% of cases of blunt trauma [1] and 3–5% of shoulder injuries. [4] An estimated 0.4–1% of bone fractures are scapular fractures. [2] The injury is associated with other injuries 80–90% of the time. [1] Scapular fracture is associated with pulmonary contusion more than 50% of the time. [8]
It is not unusual for patients to walk in for treatment and have such a fracture discovered on X-rays. Only if the force of the injury is severe enough that the vertebral body of C2 is severely subluxed from C3 does the spinal cord become crushed, usually between the vertebral body of C3 and the posterior elements of C1 and C2. [citation needed]
Patients with cervical fractures will likely be prescribed medication for pain control. In the long term, physical therapy will be given to build strength in the muscles of the neck to increase stability and better protect the cervical spine. Collars, traction and surgery can be used to immobilize and stabilize the neck after a cervical fracture.
The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate, can also be associated with atlanto-occipital dislocation. Despite its eponym, the fracture is not usually associated with a hanging mechanism of injury. [13]
Bone malrotation refers to the situation that results when a bone heals out of rotational alignment from another bone, or part of bone. It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, [ 1 ] especially in the femur and tibial bones, but can also occur genetically at birth.
A Jefferson fracture is a bone fracture of the anterior and posterior arches of the C1 vertebra, [1] though it may also appear as a three- or two-part fracture. The fracture may result from an axial load on the back of the head or hyperextension of the neck (e.g. caused by diving), causing a posterior break, and may be accompanied by a break in other parts of the cervical spine.
A flexion-distraction fracture of T10 and fracture of T9 due to a seatbelt during an MVC. On plain X-ray, a Chance fracture may be suspected if two spinous processes are excessively far apart. [10] A CT scan of the chest, abdomen, and pelvis is recommended as part of the diagnostic work-up to detect any potential abdominal injuries.
A flexion teardrop fracture is a fracture of the anteroinferior aspect of a cervical vertebral body due to flexion of the spine along with vertical axial compression. [1] The fracture continues sagittally through the vertebral body, and is associated with deformity of the body and subluxation or dislocation of the facet joints at the injured level. [2]