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ORIF of the Scapula Fractures

Shoulder Service

Colorado Springs Orthopaedic Group

Your shoulder is one of the body's most mobile joints, allowing you to reach, lift, rotate, and perform countless everyday movements. Because of this mobility, the shoulder can also be susceptible to injuries, overuse, arthritis, and other conditions that cause pain and limit movement.

CSOG provides comprehensive evaluation and treatment for a wide range of shoulder conditions, from sports injuries and tendon problems to arthritis, instability, and fractures. Depending on your condition, treatment may include physical therapy, activity modification, medications, injections, minimally invasive procedures, or surgery.

Our shoulder specialists take the time to understand your symptoms, activity level, and goals so you can receive treatment designed to reduce pain, improve function, and help you get back to the activities that are important to you.

Scapular Fracture ORIF Surgeon in Colorado Springs, CO

Scapular (shoulder blade) fractures are usually the result of intense trauma such as a high-speed motor vehicle accident, a fall from a height onto one’s back or a fall on an outstretched arm. CSOG provides diagnosis and individualized nonoperative and operative treatments for the shoulder including ORIF of scapular fractures in Colorado Springs, CO. CSOG also provides the highest level of care during and after surgery. Contact CSOG’s office for an appointment today!

What are Scapular Fractures?

The scapula (shoulder blade) is a flat, triangular bone providing attachment to the muscles of the back, neck, chest, and arm. The scapula consists of a body, neck and spine portion.

Scapular fractures are uncommon and require a large amount of force to fracture. They are usually the result of intense trauma, such as a high-speed motor vehicle accident or a fall from a height onto one’s back. They can also occur from a fall on an outstretched arm if the humeral head impacts the glenoid cavity.

What is ORIF?

ORIF/open reduction and internal fixation is a surgical procedure employed for the treatment of a scapula fracture when non-surgical or conservative treatment fails.

What is Anatomy of the Shoulder?

The shoulder is a "ball-and-socket" joint. A "ball" at the top of the upper arm bone (the humerus) fits neatly into a "socket," called the glenoid, which is part of the shoulder blade (scapula). Three bones come together to form the shoulder joint: the collarbone (clavicle), the shoulder blade (scapula), and the upper arm bone (humerus). The shoulder is the most flexible joint in the body making it susceptible to instability and injury.

What are the Symptoms of Scapula Fractures?

Symptoms of scapula fractures include the following:

  • Pain: Pain is usually severe and immediate following injury to the scapula.
  • Swelling: The scapular area quickly swells following the injury.
  • Bruising: Bruising occurs soon after injury.
  • Impaired Mobility: Decreased range of motion of the joint occurs, often with an inability to straighten the arm.
  • Numbness: Numbness, tingling, or coldness of the hand and forearm can occur if the blood supply is impaired or nerves are injured.
  • Popping Sound: A cracking or popping sound, also referred to as crepitus, can often be heard or felt at the time of the fracture.

What Causes Scapula Fractures?

Most scapular fractures are a result of severe trauma, such as:

  • High-speed motor vehicle accident
  • Fall from a height
  • Contact sports
  • Fall on an outstretched arm
  • A direct blow to the scapula

How are Scapular Fractures Diagnosed

Scapular fractures should be evaluated by an orthopedic surgeon for proper diagnosis and treatment.

Your surgeon will review your medical history and perform a physical examination.

Diagnostic studies may include:

  • X-rays: A form of electromagnetic radiation that is used to take pictures of bones.
  • CT scan: This test creates images from multiple X-rays and shows your physician structures not seen on a regular X-ray.
  • MRI: Magnetic and radio waves are used to create a computer image of soft tissue such as nerves and ligaments.

What are the Treatment Options for Scapular Fractures?

Scapular fractures can be treated with nonsurgical or surgical intervention depending upon the type of fracture.

Nonsurgical Treatment

Nonsurgical treatment involves immobilizing the shoulder with a sling for 3 to 4 weeks, allowing the bones to heal on their own. Your doctor will prescribe medication to manage your pain. Physical therapy and stretching exercises should be started a week after the injury to reduce stiffness.

Surgical Treatment (Open Reduction and Internal Fixation)

ORIF surgery is performed under sterile conditions in the operating room under general anesthesia.

  • Your surgeon makes small incisions around the shoulder area.
  • Your surgeon then locates the fracture by carefully sliding in between the muscles of the scapula. This technique allows the surgeon to see the fracture without cutting directly through the muscles.
  • Your surgeon uses special instruments to reduce the fracture.
  • Plates and screws are then inserted into the bone to hold the fracture together.
  • After reducing the fracture, the incisions are closed by sutures or by tape and covered with sterile dressings.

What Does Postoperative Care for Surgery Involve?

Common post-operative guidelines include:

  • A bandage will be around the operated shoulder, and a sling will be in place after surgery to support the shoulder.
  • It is NORMAL for the shoulder to swell after the surgery. Your surgeon may recommend applying ice packs to the area to help reduce swelling.
  • Keep the incision area clean and dry. You may shower once the dressings are removed unless otherwise directed by your surgeon.
  • You will be given specific instructions regarding activity and rehabilitation.
  • Physical Therapy is usually ordered to restore shoulder function and strength. It is imperative that you follow your exercise plan to improve motion and strength in the shoulder and prevent stiffness.
  • Your surgeon will prescribe pain medications to keep you comfortable at home.
  • Eating a healthy diet and not smoking will promote healing.

What are the Risks and Complications of Open Reduction and Internal Fixation?

As with any surgery, some of the potential complications of ORIF procedure may include:

  • Bleeding
  • Infection
  • Anesthetic reactions, such as fever, nausea, or allergic reaction
  • Blood clots or deep venous thrombosis
  • Damage to nerves and blood vessels
  • Shoulder stiffness
  • Fat embolism
  • Failure to heal properly and the need for repeat surgery

If you would like additional information on shoulder treatments or to learn more about ORIF of scapular fractures, please contact CSOG, serving the communities of Colorado Springs, CO.

For more information about our services or to schedule an appointment, call us at or click here to request an appointment online. We'll respond to you as soon as possible.

How Can You Reach CSOG Shoulder Center
  • Schedule An Appointment
  • Send a Referral
  • Send Medical Records
    Powershare Image Upload
  • Additional Inquires
Shoulder Center Specialists
Colorado Springs Locations
Orthopaedic Care Across Colorado Springs

Visit CSOG at convenient locations for specialty care, Express Care, imaging, therapy, and recovery support.

North Campus

4110 Briargate Parkway
Suite 300
Colorado Springs, CO 80920

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

Schedule an Appointment
South Campus

1655 Quail Lake Loop
Colorado Springs, CO 80906

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

Schedule an Appointment
East Campus

6140 Tutt Blvd
Suite 110
Colorado Springs, CO 80923

Mon - Fri : 7:00 am to 6:00 pm

Schedule an Appointment
Ready to Take the Next Step Toward Better Movement?

Whether you are dealing with a new injury, chronic pain, arthritis, or recovery after surgery, CSOG can help you find the right orthopaedic care path.

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105Reverse Shoulder Replacement/shoulder/reverse-shoulder-replacement-orthopaedic-specialists-colorado-springs-co/41reverse-shoulder-replacement1
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111Posterior Shoulder Stabilization/shoulder/posterior-shoulder-stabilization-orthopaedic-specialists-colorado-springs-co/41posterior-shoulder-stabilization1
112Same Day Shoulder Surgery/shoulder/same-day-shoulder-surgery-orthopaedic-specialists-colorado-springs-co/41same-day-shoulder-surgery1
113Shoulder Labrum Reconstruction/shoulder/shoulder-labrum-reconstruction-orthopaedic-specialists-colorado-springs-co/41shoulder-labrum-reconstruction1
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