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Crossword Puzzles: |
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This patient is a 24 year old male who fell off a ladder and landed on his back and is complaining of shoulder pain. The following x ray is shown. Questions: 1. Describe what you see? A fracture of the scapula that extends into the glenoid. The glenoidhumeral joint is intact. Diagnosis: Scapular fracture 2. What are the typical clinical presentations of patients who present with this type of injury? Localized tenderness over the scapula with the arm held in adduction. A flattened appearance of the shoulder. 3. What is the usual mechanism of injury? Usually from a direct blow or trauma to the shoulder sometimes with injury to the acromion or coracoid or a fall on an outstretched arm. 4. What concomitant injuries are possible with this injury? There is a greater than 80 percent association of injuries to the ipsilateral lung, thoracic cage, and shoulder girdle. Trivia: Eric Clapton is a double-inductee into the Rock and Roll Hall of Fame for which two groups? Answer: Cream and the Yardbirds |