The Scapula—Body, Glenoid and Process Fractures

Though the surgical treatment of scapula fractures was described one century ago, the past 15 years have provided a surge of scientific publications, which have aided in our current understanding of the importance of deformity and function after operative and nonoperative treatment. The goals of surgery for the scapula are now better aligned with those of other fractures throughout the body, and that is to render an anatomic reduction of the articular glenoid, establish length, alignment, and rotation of the neck and body to promote proper function, and provide stability to allow for effective rehabilitation, most often immediate passive and active range of motion. These goals have borne out in multiple studies and expert observations of patients with malunions.