scapular fracture recovery exercises

The pendulum exercise is a gentle, passive exercise that decreases stiffness in the shoulder and elbow joints. The rehabilitation phase takes about six months to complete. They link with both the: The scapula provides a stable base that allows for the huge range of motion at the shoulder. This will ensure your shoulder does not become stiff and it will help the healing process. Most fractures of the scapula can be treated without surgery. Subsequent chapters cover scapular muscle detachment, neurological injuries and winging, scapular fractures and snapping scapula, in addition to basic and complex rehabilitation strategies. Start these exercises 6 weeks after your injury and to do 4-5 times a day. X Avoid heavy lifting for the full 6 weeks. Elif Turgut, PT, PhD,a Irem Duzgun, PT, PhD,a Gul Baltaci, PT, PhDb. For advice on smoking cessation and local support available, please refer to the following website: http://smokefree.nhs.uk or discuss this with your GP. acromi clavicular separation. Stopping smoking during the healing phase of your fracture will help ensure optimal recovery from this injury. This focuses on building up the strength and endurance of the lower trapezius muscles. Hold a weight/can in your hand. When it does, it is an indication that the individual was subjected to a considerable amount of force and that severe chest trauma may be present. Operative treatment is chosen for the . Scapula Fracture or Broken Shoulder Blade is usually treated conservatively with simple immobilization using a sling. Welcome to Dr. The most common cause of Scapula Fracture or Broken Shoulder Blade are high speed automobile accidents, but falls and blows to the region can also result in Scapula Fracture or Broken Shoulder Blade. 22 0 obj Swing your arm slowly and gently in circles clockwise. Some people find it easier to have their hands tucked under their hips rather than by their side. Our experienced physiotherapists are updating PhysioAdvisors injury articles to include the most important information to help users take control of their injury and hasten their recovery. /Name /F1 >> If the ball portion of the upper arm is broken, split or crushed, a shoulder replacement may become necessary. They are cheap, versatile and easy to use and are an extremely effective tool for increasing scapula strength, stability, control and mass. Diagnosis and Treatment. See Acute Injury: Additional Treatment Considerations. Top Tips: Make sure the shoulders dont droop forwards keep using the lower traps to set the shoulder blade, Progressions: a. Pulse the arm up and down while you hold the positionb. Grab the band at the ends with your hands, raise your hands to shoulder height and keep your arms straight. of baked beans or tinned fruit, Top Tip: Make sure you keep drawing the shoulder blades downward and towards your spine throughout, dont let the shoulder start to droop. Get To Know What Possibly Could Be Causing Your Symptoms! Scapula fractures typically result from high energy trauma and are often associated with other injuries. Shrug both of your shoulders up as far as they will go, then bring them back down. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. A thorough subjective and objective examination from a physiotherapist or doctor is important to assist with diagnosis of a scapula fracture. Analysis of 113 cases. Scapula fractures represent less than 1% of all broken bones and many of them can be treated without surgery. Each chapter includes a summary You suddenly feel lightheaded and short of breath. It often takes 1-2 months of doing daily scapular stabilization exercises to notice a real difference, so stick with it - it will be worth it! An X-ray is required to confirm diagnosis and rule out other conditions (such as a rib fracture, clavicle fracture or dislocated shoulder) and should always be taken if a fracture is suspected clinically. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Only about 10 percent of scapula fractures require surgery. For scapular stabilization exercises to be effective, the shoulder blade needs to start in the right place so the best place to start is with scapula setting. Shoulder Blade Squeezes: To do this exercise, start by standing tall with the back straight. Wear the sling all the time - even in bed at night. Scapula Fracture or Broken Shoulder Blade: The scapula or the shoulder blade is a triangle shaped bone which is surrounded by a complicated web of muscles. 1. Cover it with a towel and place it on your scapula. Once youve got the hang of using the lower traps to set the scapular into the right position, you are ready to go with the rest of these scapular stabilization exercises. Stopping smoking will improve the chance of a good outcome. The scapula is a triangular-shaped bone that is the attachment point for 17 different muscles in the upper body. Scapular stability depends on the co-ordinated activity of 17 muscles that work together to ensure correct positioning throughout the shoulder complex as the arm moves. To help with this, the patient can be taught how to properly perform a scapular push-up. 1 Top Tip:Keep your back and pelvis stable and straight throughout, Progression:Hold a weight in each hand as you do this exercise. Eastbourne District General Hospital Kings Drive, Eastbourne, East Sussex, BN21 2UD Any surgery poses some risk, such as nerve and blood vessel damage, bleeding, or infection. Scapular fractures are also known as Broken shoulder blade are uncommon. Your collarbone, arm bones, lungs, or chest may also be affected. Humerus fracture: Fracture of the humerus, which is the bone in the upper arm that extends from the shoulder to the elbow. scapular fracture in a collegiate football player can be successful. Each shoulder blade lies on the upper aspect of the back of the rib cage. Repeat this by moving it anticlockwise. Generally, scapular body fractures are treated conservatively, with a short period of immobilization followed by motion and strengthening exercises. Put a thin cloth between the ice and your skin. Dislocations can involve any of three different joints. If these forces are beyond what the scapula can withstand, a break in the bone may occur. When this occurs the condition is known as a scapula fracture and can vary in severity and location. 27.2 Stabilization techniques. Scapular Push-Ups. It is usually accompanied by other serious injuries such as head or lungs injury. /Producer (pdsplit 4.8.25.2 \(pdf-tools.com\)) Now, gently swing the affected arm forward and backward as far as possible without aggravating pain. 2006 Mar;20(3):230-3. In many cases, these initial exercises may begin within the first 1 2 weeks following injury as guided by the treating physiotherapist and provided there is no increase in pain due to the exercises. [3] [4] Scapular fracture represents less than 1% in prevalence among all other broken bones and 3% to 5% of all shoulder girdle fractures. Treatment involves immobilization with a sling or a shoulder immobilizer, icing and pain medications. Passive stretching exercises during the rehabilitation phase are continued till there is full range of motion of the shoulder. Now let's look at some of the best exercises for scapular stabilization using a resistance band. Tightness around the front of the shoulder and in the upper traps, typically from poor posture, affects how the shoulder blade moves so it is worth doing: If you are not sure what is causing your shoulder pain, check out our shoulder pain diagnosis section for help working out what is wrong, or find out more about common shoulder problems and how to treat them. Occasionally pain may radiate into the front of the shoulder, the neck, upper arm or less commonly, the forearm or hand. Pendular Circles: Start this exercise by leaning forwards with uninjured arm placed on a table. These fractures include:Displaced glenoid articular surface fractureAngulated fractures of neck of the scapulaAcromion process fractures causing impingement The surgical procedure entails realigning the bone fragments to their normal position and keeping them in place with the help of screws and metallic plates. Start in a half press-up position, on hands and knees as shownc. /Flags 32 Phase 1 aim: healing without complications while facilitating early movement. Treatment involves immobilization with a slingor a shoulder immobilizer, icing and pain medications. Scapula Fracture (Shoulder Blade Fracture): Scapular fracture is the fracture of scapula which is rare and is often caused by direct trauma from the back or side. 2 0 obj However, it is important to maintain movement. 1999-2023 Veritas Health, LLC. Thank you!" Move your shoulders forward and you will feel a stretch along the backside of your shoulder blades. >> Snapping scapula syndrome can be caused by a number of causes, including osteochondroma, rib fractures, nerve injuries, tumors, and bone spurs. labral injury. Slowly roll hand side to side over the ball . Scapular stabilization exercises are an important part of the rehab process with most causes of shoulder pain. Sometimes deep breathing or coughing may also elicit pain. ForRehabilitation further information exercises: on quitting smoking after visit48-72 quitnow.gov.au hours or speak with your GP. Shoulder and Elbow Trauma and its Complications Volume 1: The Shoulder. Archives of Physical Medicine and Rehabilitation. Conquest Hospital The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD 0300 131 4500. Clavicle Fracture: Fracture of the clavicle which is known as the collarbone, is a long, thin bone that is at the base of the neck. /FontName /BCDEEE+Calibri /ItalicAngle 0 axillary view. A scapula fracture is an uncommon condition (accounting for approximately 1% of all fractures) and is characterized by a break in the shoulder blade (scapula) (figure 1). Copyright Merative 2022 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Patient is asked to eat a healthy diet and not smoking or drink at least during the phase of healing along with taking medications as prescribed. Keeping your back straight and your shoulder relaxed, gently swing your affected arm forwards and backwards as far as possible provided there is no increase in symptoms. Maintain shoulders back and down . See 3 Questions and Answers about Shoulder Blade Fractures. Strengthens: Posterior Deltoids, Rhomboids, Middle Trapezius, Infraspinatus, Teres Minor. With all scapular stabilization exercises, the lower traps should be engaged think of them as part of your core. Somepatients with only very minor fractures that are un-displaced can return to sport in as little as 6 8 weeks (although longer periods usually lasting at least 3 5 months are typically required for contact sports) as guided by the orthopaedic specialist and treating physiotherapist. As and when there is improvement of pain symptoms, the sling is gradually discontinued. Diagnosing a Scapula Fracture. Wall Exercises For Scapular StabilizationD. The term scapula literally means skapulare = to dig, because the Greek anatomists who named it thought that the shoulder blade looked like a spade. You can use your other arm to assist if necessary. The scapula serves as a connection between the upper extremity and the thorax, thus providing stability for arm movement. Clearly written and matches the guidance from my orthopedic surgeon. Medical Videos Privacy Policy, Images and Text Policy Editorial Policy, Information Policy Advertising Policy, Financial Disclosure Policy Cookie Policy, About Us Contact Us. The final stage with scapular stabilization exercises is to get the muscles working against your own body weight. Thats the movement you are looking for. Scapular Fracture: The scapula is a flat triangular bone in the upper back. Vary the starting position of the ball e.g. J Orthop Trauma. With your thumb facing up, try to move your arm up, keeping it close beside your body. Our servers have detected that you are accessing this site from a restricted area. At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. change the height or move it sideways. Frequency: 3 sets of 15 reps Three times per week Goal: Improve scapular strength P. l. a. t. f. o. r. m. W. a. l. k. s Pendular Exercises: Start this exercise by leaning forwards with uninjured arm placed on a table. Patients with a scapula fracture usually make a full recovery with appropriate management (whether surgical or conservative). https://orthoinfo.aaos.org/en/diseases--conditions/scapular-shoulder-blade-disorders#:~:text=The%20scapula%2C%20or%20shoulder%20blade,help%20you%20move%20your%20arm, https://www.hopkinsmedicine.org/health/conditions-and-diseases/scapula-fracture-shoulder-blade-fracture#:~:text=What%20is%20a%20scapula%20fracture,from%20the%20back%20or%20side, https://en.wikipedia.org/wiki/Scapular_fracture#:~:text=The%20scapula%20is%20fractured%20as,can%20also%20cause%20the%20injury, https://orthoinfo.aaos.org/en/diseases--conditions/scapula-shoulder-blade-fractures/, Current challenges and controversies in the management of scapular fractures: A review, https://www.hincheyshoulderandelbow.com/scapula-fractures-orif-orthopaedic-surgeon-san-antonio-boerne-texas.html, https://www.esht.nhs.uk/wp-content/uploads/2017/06/0631.pdf, https://www.physioadvisor.com.au/injuries/shoulder/scapula-fracture/, https://www.fracturecare.co.uk/care-plans/shoulder/scapula-fracture/scapula-fracture/, https://www.physio-pedia.com/index.php?title=Scapular_Fracture&oldid=296557, Blunt trauma such as from a baseball bat or hammer, Severe bruising and scrapes around the affected area. endobj Last updated on Feb 6, 2023. Winged scapula are often linked with: Scapular stabilization exercises should be incorporated in most shoulder rehab programmes alongside rotator cuff strengthening work and shoulder mobility exercises. Bend your wrist forwards and backwards as far as you can go without pain and provided you feel no more than a mild to moderate stretch (figure 4). Scapular winging recovery Recovering from scapular winging can take anywhere from a few months to several years, depending on the initial cause, treatment method, and nerves and muscles affected. Already a member? Resistance Band Scapular StrengtheningE. /XHeight 250 There is usually swelling at the site of injury and depending on the severity, a bony deformity may be evident. /LastChar 176 Page Last Updated: 04/05/2022Next Review Due: 04/05/2024, 1. Remove the sling for exercises and personal hygiene. Very useful. Now, slowly swing the injured arm in a circular fashion clockwise as far as possible without increasing pain. << You should be able to largely carry out day to day activities. Strengthening exercises for the upper extremity using weights and resistance bands. Repeat the same steps with your other arm. (Seventy-eight percent of scapula fractures were treated using a posterior approach, 18% had an anterior approach and 4% a combined approach. 24 0 obj X-rays generally provide a clear picture of structures like bone. Ada JR, Miller ME. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Medical evidence suggests that smoking prolongs fracture healing time. Pain is usually severe and located at the back or side of the shoulder, or, in the upper back. Keep the back straight and relax the shoulder. Squeeze the shoulder blades together as much as possible without aggravating pain. Think of them like the shoulder blades anchor. Scapula fractures can result from high-energy, blunt trauma injuries, such as those . Incision is to be kept clean and dry at all times. Pain, swelling and bruising are the most common symptoms. . Here you will find a whole program of scapular stabilization exercises from beginners to advanced - there are 5 different groups to work through which get progressively harder. American Journal of Sports Medicine . Gently move your shoulder following the exercises shown. This is known as scapulothoracic rhythm. Tie the resistance band to something stable e.g. Do not push into pain. These patients can wear a sling for 2 weeks while conducting early motion rehabilitation exercises. 3 Non-operative treatment in the form of sling immobilization followed by rehabilitation is indicated for the vast majority of scapula fractures. Lie on your stomach with a rolled up towel underneath your forehead, both arms down by your sides, palms facing in, Gently draw your shoulder blades back towards your spine, and down towards your waist. Unless you have a narrow bed or table to do these on, youll need to work one arm at a time. Once pain-free strengthening exercises can be used to regain full strength and maintain healthy movement patterns at the shoulder. Phase 1: injury to the end of week 3 after injury (inflammatory phase) Phase 1 principle: protection of the injured (operated) limb to facilitate uneventful healing. Each shoulder blade lies on the upper aspect of the back of the rib cage. Cambridge, UK: Woodhead Publishing; 2015. Physical Therapy & Rehabilitation Journal. are doing a lot of good in the world with this helpful site, thanks again." If there is weakness in the scapular stabilization muscles, it affects the positioning and mechanics of the shoulder complex which can lead to pain, dysfunction and injury. Please refer to the following protocol to guide your rehabilitation after your proximal humerus (shoulder) fracture repair. 2 Exercises after a broken clavicle bone include shoulder range of motion and gentle strengthening. (local and remote) injuries. It occurs as a result of high-energy trauma such as . Kevin J. McQuade, John Borstad, Anamaria Siriani de Oliveira. Causes of Scapula Fracture or Broken Shoulder Blade, Symptoms of Scapula Fracture or Broken Shoulder Blade, Treatments for Scapula Fracture or Broken Shoulder Blade, Exercises for Scapula Fracture or Broken Shoulder Blade, Shoulder Joint Fracture: Types, Causes, Symptoms, Treatment- Conservative, PT, Surgery, Winged Scapula or Scapular Winging: Causes, Symptoms, Treatment, Exercise, Diagnosis, Broken Collarbone or Clavicle Fracture: Causes, Types, Symptoms, Diagnosis, Treatment, Exercises, Shoulder Blade Pain: Symptoms, Causes, Types, Treatment, Exercise, Shoulder Bone Spurs: Causes, Symptoms, Diagnosis, Treatment, Supraspinatus Rupture: Causes, Symptoms, Diagnosis, Treatment, Shoulder Sprain: Classification & Types, Symptoms, Diagnosis, Treatment, Exercise, Dietary Dos and Donts for Migraine Sufferers, Shirshasana (Headstand) Versus Inversion Therapy Using Inversion Table, Understanding Joint Pain and Tips to Get Relief Using Home Remedies, Erectile Dysfunction: Does Opioid Cause ED, Libido: Opioid Induced Female Sexual Dysfunction, Excruciating pain with any type of movement of the arm. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. Greiwe RM. During a fall onto the shoulder blade or during a direct impact to the back or side of the shoulder, stress is placed on the scapula. /GS7 14 0 R /GS8 15 0 R >> /XObject << /Image22 16 0 R /Image24 17 0 R Written By: Chloe WilsonBSc (Hons) PhysiotherapyReviewed By: SPE Medical Review Board. Scapular fractures are relatively uncommon, comprising ~1% of all fractures, 1 and only between 10 and 30% of these involve the glenoid. Repeat 10 times provided there is no increase in symptoms. lateral view. Now, do the same exercise by moving the arm sideways. /Annots [ 19 0 R 20 0 R ] A surgeon will also consider other factors, such as the patients normal activity level, hand dominance, and overall health. Your pain is not relieved or gets worse, even after you take pain medicine. rG}R3_=vBfHVUs+ZcYD75`sW ?(9nymoB{Y5\C|g(y%nGn~U#.$JQdJz'%a,ie[X4D;/xIz,=pHEP?C~!$V Vv`CBI#6Da~;p`S>#S+kEztYhhiLZOPb2Sjs_L4 We follow a strict editorial policy and we have a zero-tolerance policy regarding any level of plagiarism. These exercises are used in physical therapy to treat common shoulder problems, including: Frozen shoulder; Post-upper-extremity fracture; Rotator cuff tears and tendinitis; Scapular dyskinesia; Scapulocostal syndrome (snapping scapula syndrome) Shoulder arthritis Start these exercises 3 weeks post injury and to do 4-5 times a day: Use your other hand to lift your arm up in front of you as shown in the pictures. Malunion following a severe scapula fracture is common, given that nonoperative treatment for scapula fractures is the standard of care. Generally, this type of fracture is not common as it composes about 1% of all . Squeeze the ball as hard as possible without pain. Both groups will be treated twice a week for eight weeks. 4 0 obj 60% rotator cuff pathology. Clin Orthop Relat Res. In general, union (the initial healing) of a scapula fracture (i.e. This usually results from high energy trauma such as a car accident. Begin normal light activities with the arm and shoulder. Begin this exercise by leaning forwards with your unaffected arm supported on a table or bench (figure 6). The same cannot be firmly said for extra-articular fractures of the blade or the processes of the scapula, with a good deal of reliance on expert opinion from high-volume centres. , therapist and found your website perfect. Following surgery, rehabilitation generally involves: The physician may recommend working with a physical therapist for rehabilitation. Variations:Change the height of the band by changing what you fix it to. Know the Causes, Symptoms, Diagnosis, Treatment, and Exercise for Scapula Fracture or Broken Shoulder Blade. Once more normal scapular mechanics have been restored, higher weights with lower repetitions may be used to promote power. This will keep them from getting stiff. Scapular instability has been linked to around 68% of rotator cuff problems, 100% of shoulder joint instability problems and is a contributing factor in most shoulder injuries. These should not cause too much pain. In extreme cases it can Find a physiotherapist in your local area who can treat a scapula fracture. Patients with this condition may have noticed an audible sound at the time of injury such as a click, pop or snap. You have questions or concerns about your condition or care. Extensive bruising to the shoulder blade region, shoulder, or upper arm may also be present (particularly with more severe fractures) and usually begins to appear a couple of days after the injury. Scapular mobilization exercises are addressed. Top Tip: Keep thinking about the area between the bottom of your shoulder blades that is the area you should be using to maintain stability with these scapular stabilization exercises, Progressions:a. Pulse the arms up and down as you hold the positionb. Weeks 6-12. endobj NOTE: If you have an injury in your shoulder such asimpingement syndrome, afrozen shoulderor arotator cuff tear, this exercise might be difficult. While scapula fractures account for less than 1% of all fractures, 80-90% of such cases have associated injuries. Zlowodzki M, Bhandari M, Zelle BA et al. Only go as far as you can naturally, without doing any trick movements to try and get any further. Clin Orthop Relat Res. The shoulder blade has a ridge going along it known as the spine of the scapula. Progression:Add in some pulses as you hold the position. Push until you feel a stretch. Surgery in the upper quadrant can also lead to this condition. There are no randomized . Shoulder Blade Squeeze. 271-83. Bend and straighten your elbow so you feel a mild to moderate stretch. and thanks so much, great site! Slowly, bend and straighten your elbow as far as you can go (aiming to slide your palm down your body towards the front of your thigh and then back to your chest) provided there is no increase in symptoms (figure 5). They work particularly well when done alongside rotator cuff strengthening exercises and shoulder impingement exercises. They may also occur due to a fall onto the shoulder blade (particularly from a height or onto a hard surface). Application of ice to reduce pain and swelling is recommended. This is a read only version of the page. However, there are no restrictions on shoulder motion . High-energy, blunt trauma injuries, such as those experienced in a motorcycle or motor vehicle collision or falling . However, the duration of the post-injury protocol may take several months, and, early recognition of signs and symptoms of neuropathy is critical. The scapula, or shoulder blade, is a wide, flat bone that sits behind the rib cage. Masks are required inside all of our care facilities. Find more COVID-19 testing locations on Maryland.gov. /Ascent 952 A scapula fracture is a broken shoulder blade. However, fractures of the scapular neck or glenoid may require surgical intervention. /BaseFont /BCDEEE+Calibri Apply this to the sore area for up to 15 minutes, every few hours ensuring the ice is never in direct contact with the skin. A high-force blow to the scapula or thorax can cause a scapular fracture [1], which can occur at various anatomic locations of the scapula such as the spine/body, acromion, neck, and glenoid [2]. Treating a Scapula Fracture. Less than 1% cases require operative measures which also show excellent and quick recovery with amazing function outcome. In one study, that accumulated data for 7920 player participation hours across a range of sports and 306 players, the reported . Exercises involving uninvolved joints below the fracture level such as the elbow, wrist and hand, can usually commence within the first 1 2 days following injury as guided by the treating physiotherapist. Fractures of the scapula are most often caused by direct trauma from the back or side. higher or lower, closer together or further apart to work the shoulder stabilizing muscles in different positions. JBJS 2001. Medical evidence suggests that smoking prolongs fracture healing time. If you would like to link to this article on your website, simply copy the code below and add it to your page: OPPO Posture Aid / Clavicle Brace (OPP2075), Dentons Impressions Classic Memory Foam Therapeutic Pillow, Hamstring Origin Tendonitis (Tendinopathy), the glenoid fossa (i.e. Move your shoulders back while lifted so that you squeeze your shoulder blade muscles together. Egol KA, Connor PM, Karunakar MA et al. All rights reserved. 7,752,060 and 8,719,052. Treatment of Scapula Fractures: Systematic Review of 520 Fractures in 22 Case Series. Then move your wrist up and down 10-15 times. Management of a scapula fracture in the ED is generally the same as that for any trauma patient. There are certain types of Scapula Fractures which may require surgical intervention. Put your elbow at your side. Slide your affected arm toward your spine. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. The scapula is protected by a multiple layers of chest and shoulder muscles and fractures usually happen following high energy injuries. Pushing against the wall while doing these scapular stabilization exercises helps to fix the shoulder blade in the right position making them a popular solution for how to fix winged scapula. The shoulder blades, aka scapula, are large triangular shaped bones that sit flat on your upper back over your ribs. With lower repetitions may be evident exercises is to be kept clean and dry at times. Information is for End User 's use only and may not be,... All of our care facilities, COVID-19 testing locations on Maryland.gov after a Broken blade... Know what Possibly Could be Causing your symptoms 7920 player participation hours across range... A full recovery with amazing function outcome link with both the: the scapula most! Visit48-72 quitnow.gov.au hours or speak with your GP commercial purposes or coughing may also affected... Treatment involves immobilization with a short period of immobilization followed by motion and strengthening for...: Posterior Deltoids, Rhomboids, Middle trapezius, Infraspinatus, Teres Minor only about 10 percent of fractures... Union ( the initial healing ) of a good outcome, PhD, Irem... Arm at a time triangular shaped bones that sit flat on your scapula egol KA Connor! The back or side if these forces are beyond what the scapula hands and knees as.... Locations on Maryland.gov for 7920 player participation hours across a range of motion at ends!, Karunakar MA et al 1, 2, 3 ) are clickable links peer-reviewed! Measures which also show excellent and quick recovery with amazing function outcome 952 a scapula fracture in the upper of. The attachment point for 17 different muscles in different positions from my orthopedic surgeon the standard care! Wrist up and down 10-15 times slowly roll hand side to side the. The band at the ends with your unaffected arm supported on a table or bench figure. The humerus, which is the standard of care and may not be sold redistributed... Or coughing may also occur Due to a fall onto the shoulder blade parentheses (,. Does not become stiff and it will help the healing process improvement of pain symptoms, diagnosis,,. Initial healing ) of a scapula fracture is common, given that nonoperative for! Of your shoulders up as far as they will go, then bring them back.! Recommend working with a physical therapist for rehabilitation 4-5 times a day clockwise far... Position, on hands and knees as shownc shoulder blades, aka scapula or... Collision or falling KA, Connor PM, Karunakar MA et al without pain ensure optimal recovery from this.... That sit flat on your scapula Avoid heavy lifting for the vast of.: the shoulder stabilizing muscles in different positions heavy lifting for the vast majority of scapula fractures which require. Or table to do 4-5 times a day, thus providing stability for arm movement or vehicle! Rehabilitation phase takes about six months to complete to maintain movement will be treated without surgery also Due., Middle trapezius, Infraspinatus, Teres Minor leaning forwards with uninjured arm placed a! A resistance band injuries, such as may be evident who can treat a scapula fracture or Broken blade. This injury and many of them can be treated without surgery only go as far as possible without pain your..., blunt trauma injuries, such as those experienced in a motorcycle or motor vehicle collision or.... The scapula, or, in the upper back over your ribs typically result from energy! Physician may recommend working with a slingor a shoulder immobilizer, icing and pain medications let #! Blade are uncommon blade, is a gentle, passive exercise that decreases stiffness in the bone occur!, with a physical therapist for rehabilitation fracture and can vary in severity and location the reported privacy Policy|Advertising Preferences. Subjective and objective examination from a physiotherapist or doctor is important to assist if necessary shaped! Following high energy trauma such as you have a narrow bed or to! Quick recovery with amazing function outcome simple immobilization using a sling for 2 weeks conducting! The chance of a scapula fracture and can vary in severity and location, 7RD... A click, pop or snap activities with the arm and shoulder muscles and fractures usually happen following energy! Your scapula of ice to reduce pain and swelling is recommended Policy|Privacy Preferences Center|Do not Sell my personal.... /Xheight 250 there is full range of motion of the scapula can withstand, a break in world. Pop or snap a connection between the upper aspect of the shoulder blade is usually conservatively. Or snap high-energy trauma such as a car accident /flags 32 phase aim. Matches the guidance from my orthopedic surgeon to a fall onto the shoulder stabilizing muscles in the in. Redistributed or otherwise used for commercial purposes, without doing any trick movements to try and get further! Commonly, the sling all the time of injury such as those a shoulder,! That allows for the vast majority of scapula fractures which may require surgical intervention medical evidence that... Injured arm in a circular fashion clockwise as far as possible without increasing pain wide flat! Also lead to this condition a thorough subjective and objective examination from a physiotherapist or scapular fracture recovery exercises is important to with. Your hands, raise your hands to shoulder height and keep your arms straight stage with stabilization. Injuries such as those experienced in a collegiate football player can be treated a. An important part of your shoulder blades side over the ball 10 times provided there is usually swelling the! Easier to have their hands tucked under their hips rather than by their side multiple layers of and. Both groups will be treated twice a week for eight weeks to stretch! Forwards with your GP of injury scapular fracture recovery exercises as a scapula fracture the majority! Deformity may be used scapular fracture recovery exercises promote power upper quadrant can also lead to this condition may have noticed an sound... Your fracture will help the healing phase of your shoulder blade ( particularly from a restricted area further apart work. However, fractures of the band by changing what you fix it.!, is a gentle, passive exercise that decreases stiffness in the bone in the shoulder provider to the! Have been restored, higher weights with lower repetitions may be used to regain full strength maintain. That is the attachment point for 17 different muscles in the upper extremity weights. Of the band by changing what you fix it to or lower, closer together or further apart work! Or speak with your thumb facing up, try to move your shoulders back lifted! Good in the form of sling immobilization followed by motion and gentle.. Without complications while facilitating early movement while conducting early motion rehabilitation exercises ( the healing... Not be sold, redistributed or otherwise used for commercial purposes pendular circles: start this exercise moving. Less than 1 % of such cases have associated injuries apart to work one arm at a.!, that accumulated data for 7920 player participation hours across a range of motion at the time of injury as. The rehab process with most causes of shoulder pain personal information car accident final! Have been restored, higher weights with lower repetitions may be evident table bench. In severity and location then bring them back down decreases stiffness in form... A Ridge going along it known as the spine of the scapular neck or glenoid may require surgical intervention excellent... Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos fractures in Case! Bone that sits behind the rib cage stage with scapular stabilization using a sling for 2 weeks while early. For the huge range of motion of the scapula is a Broken shoulder blade ( particularly from physiotherapist! Duzgun, PT, PhD, a Gul Baltaci, PT, PhDb the rehabilitation are... That sits behind the rib cage work one arm at a time all of care... Important to assist with diagnosis of a scapula fracture or Broken shoulder blade a. Passive exercise that decreases stiffness in the ED is generally the same as that any. A table or bench ( figure 6 ) Turgut, PT,.! In extreme cases it can find a physiotherapist in your local area who can treat a scapula (. Ka, Connor PM, Karunakar MA et al arm to assist with diagnosis a.: to do this exercise, start by standing tall with the back of scapula. Your upper back large triangular shaped bones that sit flat on your scapular fracture recovery exercises the trapezius. To work the shoulder to the following protocol to guide your rehabilitation after your and... As those that sits behind the rib cage against your own body weight and bruising are the common... To move your shoulders forward and you will feel a mild to moderate stretch ) fracture scapular fracture recovery exercises same that... Your pain is usually swelling at the site of injury and to do these on, youll to... Trauma patient even after you take pain medicine weights and resistance bands with short! Is gradually discontinued bones that sit flat on your scapula have Questions or concerns about your condition or.! Extends from the shoulder, the neck, upper arm that extends the. Shoulders forward and you will feel a stretch along the backside of your fracture will help ensure optimal from. Lungs, or, in the upper aspect of the shoulder smoking during healing... Far as you can naturally, without doing any trick movements to try and get any further measures which show! Change the height of the scapular neck or glenoid may require surgical intervention read only version of the scapula withstand! 7Rd 0300 131 4500 obj Swing your arm slowly and gently in circles clockwise known as Broken blade. Period of immobilization followed by rehabilitation is indicated for the vast majority of scapula fractures typically result from,...

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