Characterization and influence of ipsilateral scapula fractures among patients who undergo surgical stabilization of sub
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ORIGINAL ARTICLE
Characterization and influence of ipsilateral scapula fractures among patients who undergo surgical stabilization of sub‑scapular rib fractures Alvaro Gargur Assuncao1 · Kiara Leasia1 · Thomas White2 · Sarah Majercik2 · Scott Gardner2 · Cyril Mauffrey3 · Josh Parry3 · Ernest E. Moore1 · Fredric M. Pieracci1 Received: 22 April 2020 / Accepted: 1 September 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Background Current decision algorithms involving surgical stabilization of rib fractures (SSRF) do not consider either specific fracture locations or other chest wall bony injuries. Our objective was to characterize the impact of scapula fractures on morbidity among patients who underwent fixation of sub-scapular rib fractures. We hypothesized that an ipsilateral scapula fracture was associated with poor acute and long-term outcomes. Methods Retrospective review of two institutions’ prospectively maintained SSRF databases (October 2010 to January 2019). Patients who underwent repair of ≥ 1 sub-scapular rib fracture were included. Patients were grouped by the presence of an ipsilateral scapula fracture. Outcomes were acute SSRF complications, long-term rib implant removal, and quality of life via phone survey. Results A total of 144 patients were analyzed; 53 (36.8%) had an ipsilateral scapula fracture. Patients with a scapula fracture had a higher injury severity score (p = 0.02), degree of pulmonary contusion (p
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