Scapular fractures in the Pan-scan Era
Academic Emergency Medicine Jan 19, 2018
Brown C, et al. - Researchers here aimed at determining the percentages of scapular fractures seen on chest CT only (SOCTO) vs seen on both CXR and CT and of isolated scapular fracture (scapular fracture without other thoracic injuries). In addition, they assessed the frequencies of associated thoracic injury with scapular fracture. Proportion of patients admitted, mortality, hospital length of stay, and injury severity scores (ISS), comparing four patient groups (scapular fracture, non-scapular fracture, scapular fracture SOCTO, and isolated scapular fracture) were also determined. Most scapular fractures were SOCTO and most were associated with other thoracic injuries under current blunt trauma imaging protocols that commonly include chest CT. Compared to patients with non-scapular fracture, patients with scapular fracture SOCTO and isolated scapular fracture have higher admission rates and ISS. However, their hospital mortality was similar.
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