Shoulder-Blade (Scapula) Fracture, Coracoid Process

A complete or incomplete break in the coracoid process of the scapula (shoulder blade).

Body Parts Involved

• Scapula.
• Shoulder joint.
• Soft tissue around the fracture site, including nerves, tendons, ligaments and blood vessels.

Causes

Direct blow or indirect stress to the bone. Indirect stress may be caused by twisting or violent muscle contraction.

Signs & Symptoms

• Severe pain at the fracture site.
• Swelling of soft tissue around the fracture.
• Tenderness to the touch.

Treatment

Note:- Follow your doctor's instructions. These instructions are supplemental.

First Aid

• Keep the person warm with blankets to decrease the possibility of shock.
• Cut away clothing, if possible. Don't move the injured area to do so.
• Follow Instructions for R.I.C.E., the first letters, Ice, compression and elevation.

Continuing Care

• If bone fragments are displaced, the doctor will set the broken bones with surgery or, if possible, without. The bones should be set as soon as possible after injury. Six or more hours after the fracture, bleeding and displacement of body may lead to shock. Also, many tissues lose their elasticity and become difficult to return to a normal position.
• If bone fragments are not displaced, these require only simple treatment and heal relatively quickly. The strong muscles that end surround the scapula usually prevent the displacement of the fractured parts.
• Immobilization with a compression bandage and sling will be necessary for 14 days.
• After 48 hours, localized heat promotes healing by increasing blood circulation in the injured area. Use hot baths, showers, compresses, heat lamps, heating pads, and heat ointments or liniments.

After immobilization:

• Use ice massage. Fill a large Styrofoam cup with ,end freeze. Tear a small amount of foam from the top so ice protrudes. Massage firmly over the injured area in a circle about the size of a baseball. Do this for 15 minutes at a time, 3 or 4 times a day, and before workouts or competition.

Medication

Your doctor may prescribe:

• Narcotic or synthetic narcotic pain relievers for severe pain.
• Stool softeners to prevent constipation due to inactivity.
• Acetaminophen (available without prescription) for mild pain after initial treatment.

Home Diet

Diagnostic Measures

• Your own observation of symptoms.
• Medical history and physical exam by a doctor.
• X-rays of injured areas.

Prevention Tips

• Build your strength with a good conditioning program before beginning regular athletic practice or competition. Increased muscle mass helps protect bones and underlying tissue. Use appropriate protective equipment.
• Use appropriate protective equipment.