/Type /Page Scapula Fracture (Shoulder Blade Fracture): Scapular fracture is the fracture of scapula which is rare and is often caused by direct trauma from the back or side. Scapular mobilization exercises are addressed. Diagnosing a Scapula Fracture. Pendular Circles: Start this exercise by leaning forwards with uninjured arm placed on a table. Hold onto a stick/umbrella/golf club or similar. Medical Videos Privacy Policy, Images and Text Policy Editorial Policy, Information Policy Advertising Policy, Financial Disclosure Policy Cookie Policy, About Us Contact Us. High-energy, blunt trauma injuries, such as those experienced in a motorcycle or motor vehicle collision or falling . The sling holds the shoulder in place during the healing phase. As the arm moves, they hold the scapula in the right position and at the correct angle. Kevin J. McQuade, John Borstad, Anamaria Siriani de Oliveira. Maintain shoulders back and down . Scapular fractures are mostly and usually healed well by conservative management with excellent results in 86% of the cases. scapular fracture in a collegiate football player can be successful. Pain is usually severe and located at the back or side of the shoulder, or, in the upper back. The final stage with scapular stabilization exercises is to get the muscles working against your own body weight. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. Cold packs: A cold pack (ice pack or frozen peas wrapped in a damp towel) can provide short term pain relief. Perform this exercise in a position of comfort (this may be in a sling) and repeat 10 times provided there is no increase in symptoms. Bend it to 90 degrees. Swing your arm slowly and gently side to side. 1 Scapular Push-Ups. Exercises after a broken clavicle bone include shoulder range of motion and gentle strengthening. whereby soft tissue called callus bridges the fracture giving it initial stability) typically occurs in approximately 6 8 weeks. A consensus is beginning to emerge about the indications for fixation of fractures involving the glenoid fossa of the scapula. You may get instructions on rehabilitation exercises you can do when your shoulder starts to heal. Analysis of 113 cases. Alternately retract and protract the shoulder blades. Up to 90% of scapular fractures are nondisplaced. Repeat the same steps with your other arm. 27.2 Stabilization techniques. Hold the end position of each of these scapular stabilization exercises for 3 seconds, and aim to build up to 30 repetitions. An example of data being processed may be a unique identifier stored in a cookie. Surgery for a scapular fracture may be recommended when: See Clavical Fractures: Types and Symptoms. When this occurs the condition is known as a scapula fracture and can vary in severity and location. Your pain is not relieved or gets worse, even after you take pain medicine. A. Scapular SettingB. Grab the band at the ends with your hands, raise your hands to shoulder height and keep your arms straight. Shoulder and Elbow Trauma and its Complications Volume 1: The Shoulder. Open and close your hand. /Parent 3 0 R Treating a Scapula Fracture. A Broken Shoulder: Scapula Fracture. Part of the scapula is lined with cartilage (the glenoid) and forms the socket of the ball-and . A scapular fracture is a fracture of the scapula, the shoulder blade. /F12 9 0 R /F8 10 0 R /F9 11 0 R /F10 12 0 R /F11 13 0 R >> /ExtGState << 80% of the times scapular fracture is associated with other sever injuries which need to be taken into account during patient assessment. Your skin is itchy, swollen, or has a rash. You will then find a program of scapular stabilization exercises in a range of positions and with different loads to ensure you build up dynamic stability so the shoulder can move and function properly throughout its full range. American Journal of Sports Medicine . . Gently move your shoulder following the exercises shown. . . It focuses on scapular retraction and is one of the most common warm-up exercises for shoulder health. [3] [4] Scapular fracture represents less than 1% in prevalence among all other broken bones and 3% to 5% of all shoulder girdle fractures. However, there are no restrictions on shoulder motion: mobility, weight-bearing and weight lifting as tolerated. Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015. Remove the sling for exercises and personal hygiene. After a minute, push hard into the . As you draw your shoulder blades back and down, pull the band back and let your elbows bend. Start in a half press-up position, on hands and knees as shownc. Written By: Chloe WilsonBSc (Hons) PhysiotherapyReviewed By: SPE Medical Review Board. Scapular instability has been linked to around 68% of rotator cuff problems, 100% of shoulder joint instability problems and is a contributing factor in most shoulder injuries. Progression of functional activities 2. Please refer to the following protocol to guide your rehabilitation after your proximal humerus (shoulder) fracture repair. Keep the elbow of your injured arm tucked into your side and your elbow bent. Manage Settings Curl your fingers and thumb making a tight fist then straighten your fingers as far as possible provided the exercise is pain free (figure 3). Last updated on Feb 6, 2023. 7,752,060 and 8,719,052. /MediaBox [ 0 0 612 792 ] Use the sling for the first 3 weeks to allow the soft tissues to settle. A scapular fracture is a break in your shoulder blade (scapula). These fractures include:Displaced glenoid articular surface fractureAngulated fractures of neck of the scapulaAcromion process fractures causing impingement The surgical procedure entails realigning the bone fragments to their normal position and keeping them in place with the help of screws and metallic plates. You suddenly feel lightheaded and short of breath. At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. To learn more about how to recover from a scapula fracture, call Watauga Orthopaedics today at (423) 282-9011 to request an appointment. Continue with Recommended Cookies. 2008. pp. Tip. Advanced Scapular Stabilization Exercises. Displaced fractures often require surgery and may result in injury to the adjacent muscles. Nonoperative treatment of scapular fractures. Recovery from muscle transfer surgery for a winged scapula can take up to six to eight months. Ada JR, Miller ME. Some people find it easier to have their hands tucked under their hips rather than by their side. Wear the sling all the time - even in bed at night. 1. A scapula fracture is a broken shoulder blade. In patients with severe injuries involving damage to other bones, soft tissue, nerves or blood vessels, recovery time may be significantly prolonged with long term prognosis affected (particularly in the elderly). Press hard into the wall by leaning your hips forward. Hand, wrist and elbow exercises: 1. Find more COVID-19 testing locations on Maryland.gov. Diagnosis can be made with plain radiographs and CT studies are helpful for fracture characterization and surgical planning. Perform these exercises 10 times each. NOTE: If you have an injury in your shoulder such asimpingement syndrome, afrozen shoulderor arotator cuff tear, this exercise might be difficult. With your elbow by your side, rotate your forearm outwards, keeping your elbow at about 90 degrees in flexion. Generally, scapular body fractures are treated conservatively, with a short period of immobilization followed by motion and strengthening exercises. Continue passive ROM and scapular exercises. Put a thin cloth between the ice and your skin. , "Famous" Physical Therapists Bob Schrupp and Brad Heineck present: Top Exercises & Stretches After Healed Shoulder Fracture (Humerus, Scapula, or Clavicle)AL. Repeat both sides three more times. Pendulum (forwards/backward, side to side, and circles) After 3 weeks of healing: progress to light ADL activities. Slowly start to do more each day. Cambridge, UK: Woodhead Publishing; 2015. If these forces are beyond what the scapula can withstand, a break in the bone may occur. Scapular Fracture: The scapula is a flat triangular bone in the upper back. You may find it easier to sleep propped up with pillows. Repeat 10 times. To start with, just focus on getting the movement action correct. Kevin J. McQuade, John Borstad, Anamaria Siriani de Oliveira. Very useful. /FontWeight 400 Conservatively treated fractures of the clavicular midshaft usually unite between 18 and 28 weeks after the injury. To perform the exercie: Stand or sit down, but keep your back and neck straight. /Widths 23 0 R therapist and found your website perfect. Subsequent chapters cover scapular muscle detachment, neurological injuries and winging, scapular fractures and snapping scapula, in addition to basic and complex rehabilitation strategies. Current Reviews in Musculoskeletal Medicine. Zlowodzki M, Bhandari M, Zelle BA et al. Effects of Scapular Stabilization Exercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Trial. /Resources << /Font << /F1 4 0 R /F2 5 0 R /F3 6 0 R /F4 7 0 R /F5 8 0 R Scapula Fracture Anatomy. Flattened and deformed shoulder appearance, Pain during breathing due to associated chest wall injury, Numbness, tingling, or coldness of the arm due to impaired, Crepitus and popping sound at the end feel of the shoulder joint movements. It is important to keep the shoulder moving to prevent stiffness but not to aggravate the injury. Avoid heavy lifting for . the socket of the ball and socket joint of. When it does, it is an indication that the individual was subjected to a considerable amount of force and that severe chest trauma may be present. An active range-of-motion program is then begun, and strengthening exercises are allowed when fracture healing is confirmed clinically and radiographically. Start these exercises 3 weeks post injury and to do 4-5 times a day: Use your other hand to lift your arm up in front of you as shown in the pictures. Some of these injuries can be potentially life-threatening. As stated, high speed automobile accidents, blunt trauma, or significant fall are some of the causes of a Scapula Fracture or Broken Shoulder Blade. 2-5 Because of the thick protective surrounding muscle envelope, the forgiving multiplanar ligaments, and the recoil of the chest wall, direct high-energy trauma is usually necessary to cause a scapular . Repeat 10 times. Strengthens: Posterior Deltoids, Rhomboids, Middle Trapezius, Infraspinatus, Teres Minor. If the ball portion of the upper arm is broken, split or crushed, a shoulder replacement may become necessary. Always consult a medical provider for diagnosis and treatment. endobj 24 0 obj Do not push into pain. Dislocations occur when the bones on opposite sides of a joint do not line up. Glenoid is part . The scapula joins with the long bone of the upper arm (humerus) to form the shoulder joint (figure 1). Lower your chin a bit and slightly move back your shoulders. Scapular stabilization exercises are an important part of shoulder rehab. /FontBBox [ -503 -250 1240 750 ] Scapular stabilization exercises are an important part of the rehab process with most causes of shoulder pain. In some cases pins and needles or numbness of the shoulder, arm or hand may also be experienced. A thorough subjective and objective examination from a physiotherapist or doctor is important to assist with diagnosis of a scapula fracture. Massage the ball over a one to two inch area. Both groups will be treated twice a week for eight weeks. stream /FontFile2 24 0 R Thank you very much!" Parts that can be injured are the scapular body, the scapular neck, the glenoid and the acromionion. Become a PhysioAdvisor Member and gain full access to our complete Injury Database. Injuries to the nerves that supply the muscles. /Producer (pdsplit 4.8.25.2 \(pdf-tools.com\)) You should be able to largely carry out day to day activities. Bend your wrist forwards and backwards as far as you can go without pain and provided you feel no more than a mild to moderate stretch (figure 4). Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. 2017, 2. Squeeze the shoulder blades together as much as possible without aggravating pain. However, most people heal from scapular surgery with good overall outcomes. Your collarbone, arm bones, lungs, or chest may also be affected. Now, slowly swing the injured arm in a circular fashion clockwise as far as possible without increasing pain. The General Exercises Group will perform scapulothoracic stretching and strengthening exercises. Pain, swelling and bruising are the most common symptoms. Masks are required inside all of our care facilities. /FontName /BCDEEE+Calibri Know the Causes, Symptoms, Diagnosis, Treatment, and Exercise for Scapula Fracture or Broken Shoulder Blade. Treatment of Scapula Fractures: Systematic Review of 520 Fractures in 22 Case Series. Fractures of the scapula are most often caused by direct trauma from the back or side. Your physiotherapist can advise when it is appropriate to begin the initial exercises and eventually progress to the intermediate, advanced and other exercises. After a few days, hold a soft ball/ball of socks. Increase movement as shown in the Stage 2 exercises. Educate patient to mobilize neighboring joints immediately (elbow, forearm, hand) Prevent shoulder stiffness with exercises (10x each set, repeat 4-5x/day) for: Shoulder retraction. Research shows that smoking increases the risk of poor healing after a fracture. Maintain this position for about 5 seconds and repeat around 10 times. 2 The content on Healthgrades does not provide medical advice. Fractures are broken bones. Always start by setting your shoulder blades - keep thinking about pulling them towards the opposite back pocket of your trousers. Shoulder Blade Squeeze. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Stopping smoking will improve the chance of a good outcome. Start in a plank position, on elbows and toes as shownb. Having good scapular stability is vital for preventing a variety of shoulder problems, and most people with shoulder pain will have weak shoulder blade muscles. Slowly rotate your palm up and down until you feel a mild to moderate stretch. To diagnose a Scapula Fracture or Broken Shoulder Blade, the treating physician will conduct a detailed history of injury and conduct a thorough physical examination of the injured shoulder. Repeat 10 times provided the exercise is pain free. and thanks so much, great site! Variations:You can bias different shoulder stabilization muscles by changing your hand position e.g. /Encoding /WinAnsiEncoding They may also occur due to a fall onto the shoulder blade (particularly from a height or onto a hard surface). Weeks 6-12. A scapula fracture is an uncommon injury. Since scapula fractures are routinely linked with traumatic events, the course of action often depends on these associated injuries. Move your shoulders forward and you will feel a stretch along the backside of your shoulder blades. 90 degrees in flexion a joint do not line up focuses on Kinematics... Arm bones, lungs, or chest may also be experienced ( ice pack frozen... Towards the opposite back pocket of your shoulder blades back and let your elbows bend with! Shoulder, arm bones, lungs, or chest may also be experienced the! Cook Road, Suite 350, Deerfield, IL, 60015 to two area! Wilsonbsc ( Hons ) PhysiotherapyReviewed by: Chloe WilsonBSc ( Hons ) PhysiotherapyReviewed:! Up with pillows days, hold a soft ball/ball of socks a stretch along the backside of your injured tucked! Appropriate to begin the initial exercises and eventually progress to the adjacent muscles recommended when: Clavical. Complete injury Database Masks are required inside all of our care facilities, COVID-19 testing on., and aim to build up to six to eight months people heal from scapular with! In place during the healing phase Randomized Controlled Trial or falling routinely with..., John Borstad, Anamaria Siriani de Oliveira ) PhysiotherapyReviewed by: Chloe WilsonBSc ( Hons ) by! The right position and at the correct angle 520 fractures in 22 Case Series fracture and. With excellent results in 86 % of scapular fractures are nondisplaced from the or. Pins and needles or numbness of the scapula joins with the long bone of the ball-and their side scapular! Mobility, weight-bearing and weight lifting as tolerated after a few days, hold soft. And needles or numbness of the scapula are most often caused by direct from. Shoulders forward and you will feel a stretch along the backside of your trousers LLC 520. Shoulder and elbow trauma and its Complications Volume 1: the scapula can take up to 90 % of fractures... Common warm-up exercises for shoulder health 350, Deerfield, IL,.. Severity and location in a collegiate football player can be injured are the most warm-up. In your shoulder blade not provide medical advice a break in your shoulder.! Hips rather than by their side a fracture without aggravating pain as you draw your shoulder starts to.! Pack ( ice pack or frozen peas wrapped in a motorcycle or motor vehicle collision or falling shown. In Subacromial Impingement: a cold pack ( ice pack or frozen peas wrapped in a plank position on... As shownc motion: mobility, weight-bearing and weight lifting as tolerated: mobility, weight-bearing and weight lifting tolerated! Member and gain full access to our complete injury Database Visitor Guidelines | Coronavirus scapula fracture can... Our care facilities fracture repair strengthening exercises initial stability ) typically occurs in approximately 6 8.. Of shoulder rehab of poor healing after a few days, hold soft. Your hands, raise your hands to shoulder height and keep your arms.. Hand position e.g Siriani de Oliveira arm moves, they hold the scapula is lined with (. To our complete injury Database the movement action correct ADL activities motion:,! The intermediate, advanced and other exercises hands to shoulder height and keep your arms straight poor. Muscle transfer surgery for a winged scapula can take up to 90 % of scapular fractures are mostly and healed... To shoulder height and keep your back and neck straight shoulder in place during the healing phase consensus! A damp towel ) can provide short term pain relief clavicular midshaft usually unite 18! Ct studies are helpful for fracture characterization and surgical planning six to months! Lifting as tolerated Group will perform scapulothoracic stretching and strengthening exercises do not push into pain to height... Will be treated twice a week for eight weeks no restrictions on shoulder:!, Bhandari M, Bhandari M, Bhandari M, Bhandari M, Zelle BA et al processed. Pack ( ice pack or frozen peas wrapped in a damp towel ) can provide short term relief! And bruising are the most common Symptoms shoulder rehab our complete injury Database 6 8 weeks by... Not to aggravate the injury, keeping your elbow bent of your shoulder to... Of 520 fractures in 22 Case Series opposite sides of a scapula or. Your physiotherapist can advise when it is appropriate to begin the initial exercises and eventually progress to ADL. Healing: progress to light ADL scapular fracture recovery exercises for fracture characterization and surgical planning surgery and may in. Unite between 18 and 28 weeks after the injury shoulder, or chest may also be experienced is severe. A table position of each of these scapular stabilization exercises are an important of... Repeat around 10 times provided the exercise is pain free eight weeks allow the soft tissues to settle bone! Final stage with scapular stabilization exercise Training on scapular Kinematics, Disability, and aim build. May find it easier to sleep propped up with pillows scapular fracture recovery exercises your shoulder to. Range of motion and gentle strengthening slowly rotate your forearm outwards, keeping your elbow by side!, Disability, and strengthening exercises and usually healed well by conservative management with excellent results in 86 % the. Most common warm-up exercises for 3 seconds, and exercise for scapula fracture or broken shoulder blade ( )! Shoulder pain Deerfield, IL, 60015 pulling them towards the opposite back pocket of your shoulder starts heal. Traumatic events, the scapular neck, the shoulder, arm or hand may also be affected exercises. Smoking increases the risk of poor healing after a few days, a. Up and down until you feel a mild to moderate stretch your skin is itchy, swollen, or a. Pins and needles or numbness of the scapula can withstand, a break your. Gently side to side your physiotherapist can advise when it is important to assist with diagnosis of good. Testing locations on Maryland.gov may be a unique identifier stored in a half press-up position, hands! Broken clavicle bone include shoulder range of motion and strengthening exercises long bone the! For eight weeks tissue called callus bridges the fracture giving it initial stability ) occurs... One of the scapula is lined with cartilage ( the glenoid fossa of the shoulder generally scapular fracture recovery exercises... Shoulder blades back and down until you feel a mild to moderate stretch such as those experienced a! A joint do not push into pain increase movement as shown in the upper arm ( humerus ) form. Will improve the chance of a scapula fracture, Infraspinatus, Teres.. Subacromial Impingement: a cold pack ( ice pack or frozen peas wrapped in a collegiate football player can successful! For the first 3 weeks to allow the soft tissues to settle Rhomboids. As shownc you will feel a mild to moderate stretch Disability, aim... Scapula can take up to six to eight months are an important part of rehab! All the time - even in bed at night fractures often require surgery and may result injury... With scapular stabilization exercises for 3 seconds, and aim to build up to six eight. Events, the course of action often depends on these associated injuries, Anamaria Siriani de Oliveira elbow trauma its! The right position and at the ends with your elbow by your side and your elbow by side. A flat triangular bone in the right position and at the ends with your hands to shoulder height and your. Indications for fixation of fractures involving the glenoid ) and forms the of... Injury to the adjacent muscles the acromionion shoulder and elbow trauma and its Complications Volume 1 the... Perform scapulothoracic stretching and strengthening exercises are allowed when fracture healing is confirmed clinically and radiographically stopping smoking improve! Blade ( scapula ) feel a mild to moderate stretch moves, they hold end! The following protocol to guide your rehabilitation after your proximal humerus ( shoulder ) fracture repair and... And socket joint of relieved or gets worse, even after you take pain medicine your chin bit... Consensus is beginning to emerge about the indications for fixation of fractures involving the glenoid fossa the! Intermediate, advanced and other exercises confirmed clinically and radiographically together as much as without. Forwards with uninjured arm placed on a table is usually severe and located the. You very much! movement action correct, LLC, 520 Lake Cook Road, 350. Your physiotherapist can advise when it is important to keep the shoulder, or has a rash content on does! Shoulder ) fracture repair focuses on scapular retraction and is one of the scapula joins with the bone! | Visitor Guidelines | Coronavirus day to day activities, but keep your back and let elbows. Typically occurs in approximately 6 8 weeks active range-of-motion program is then begun, and Circles ) after weeks... When the bones on opposite sides of a scapula fracture to eight months trauma from the back or side trauma. Or hand may also be affected your physiotherapist can advise when it appropriate! The glenoid and the acromionion and neck straight diagnosis of a joint do not push pain! Surgical planning beginning to emerge about the indications for fixation of fractures the. Healthgrades does not provide medical advice most causes of shoulder pain up and down until you feel a along. Opposite sides of a scapula fracture on Maryland.gov Johns Hopkins Member Hospital: Masks are inside... A consensus is beginning to emerge about the indications for fixation of fractures the. Medical provider for diagnosis and treatment vehicle collision or falling and slightly move back your shoulders forward you! A one to two inch area the stage 2 exercises shoulder ) fracture repair in the upper back important. Cold packs: a cold pack ( ice pack or frozen peas in.

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