S42.154

Clinical Causes: Direct trauma or blow to the shoulder, such as falls or sports injuries. Accidental impacts during activities like cycling or motor vehicle collisions. Falls onto an outstretched arm, transmitting force to the shoulder. Industrial or work-related accidents causing blunt force injury.

Key Symptoms: Pain localized in the shoulder region, especially when moving or lifting the arm. Swelling or tenderness around the shoulder area. Limited range of motion in the affected shoulder. Bruising or discoloration around the shoulder. Difficulty performing everyday activities that involve shoulder movement.

Diagnosis Path: Diagnosis typically involves a combination of physical examination and imaging studies. The healthcare provider will assess shoulder pain, swelling, and movement. X-ray imaging is essential to confirm the presence of a fracture and to determine whether it is displaced or nondisplaced. In some cases, additional imaging such as MRI or CT scans may be ordered to evaluate surrounding tissues and the exact fracture pattern.

Treatment Protocols: Management of a nondisplaced fracture of the scapula's neck generally aims to promote healing and restore shoulder function. Treatment options include: - **Conservative approaches:** - Rest and immobilization with a sling to keep the shoulder supported. - Pain management with medications such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs). - Ice application to reduce swelling. - Limited activity and avoiding strenuous shoulder movements. - Physical therapy and gentle exercises as healing progresses to regain strength and mobility. - **Monitoring and follow-up:** - Regular check-ups and imaging to monitor healing. - Adjustments to activity level based on healing progress. - **Surgical intervention:** - Usually reserved for cases where the fracture is displaced or if there are associated injuries requiring stabilization. - Internal fixation may be performed to realign bone fragments.