Scapula Fractures: Recovery Time and Long-term Effects

Scapular fracture

Hello Dr.
Shi: On October 19, 2000, I had an accident while riding a motorcycle and sustained an injury.
An X-ray revealed a 3mm fracture of the left scapula with a slight downward displacement of 1cm.
After three months of traditional Chinese medicine treatment (without surgery), I still cannot raise my arm high, lift weights, bend backward, or perform lateral raises.
Could you please advise how long it may take for these symptoms to fully heal, and whether there might be any long-term complications? Is it possible that I will be unable to perform lateral raises or overhead lifts? Thank you very much.
Danny

Li, 30~39 year old female. Ask Date: 2001/01/09

Dr. Shi Guozheng reply Orthopedics

If the fracture line of the scapula is not significant, conservative treatment is the principle approach.
Typically, fractures heal within three months; however, joint mobility may be limited due to pain before healing occurs, often resulting in the patient's inability to raise the shoulder.
Such fractures still require medication and rehabilitation therapy.
Medication is used in the early stages of the fracture to alleviate pain, while rehabilitation aims to gradually restore normal joint function.
Other methods, such as massage or topical medications claiming to promote fracture healing, lack scientific basis.
In some cases, inappropriate manipulation or reduction techniques may lead to adverse effects.
Therefore, it is advisable to consult an orthopedic physician for further evaluation and to determine if additional treatment is necessary.

Reply Date: 2001/01/09

More Info

Hello Danny,
Thank you for reaching out with your concerns regarding your scapula fracture. Scapula fractures, while less common than other types of fractures, can significantly impact shoulder function and mobility. Given your situation, let’s break down the recovery process, potential long-term effects, and what you might expect moving forward.

Recovery Time
The recovery time for scapula fractures can vary widely based on the severity of the fracture, the specific location of the fracture, and the treatment approach. Generally, non-surgical treatment for scapula fractures can take anywhere from 6 to 12 weeks for initial healing. However, full recovery, which includes regaining strength and range of motion, can take several months longer. In your case, since you have been undergoing traditional Chinese medicine treatment for three months without significant improvement, it may be beneficial to consult with an orthopedic specialist for a comprehensive evaluation.

Factors Influencing Recovery
1. Type of Fracture: A 3mm displacement and slight downward movement of the scapula can affect the surrounding muscles and tendons, which are crucial for shoulder mobility. If the fracture is stable and not significantly displaced, the prognosis for recovery is generally good.

2. Age and Health: Younger individuals typically heal faster than older adults. Additionally, overall health, including nutrition and physical activity levels, plays a critical role in recovery.

3. Rehabilitation: Engaging in a structured rehabilitation program is essential. Physical therapy can help restore range of motion, strength, and function. If you haven’t started physical therapy yet, it may be time to consider it, as it can significantly enhance recovery outcomes.

Long-term Effects
While many individuals recover fully from scapula fractures, some may experience long-term effects, particularly if the fracture was severe or if there was significant displacement. Potential long-term issues include:
- Reduced Range of Motion: Difficulty in lifting the arm or performing overhead activities may persist, especially if the muscles and tendons around the shoulder have been affected.

- Chronic Pain: Some individuals may experience lingering pain or discomfort in the shoulder area, which can be exacerbated by certain movements.

- Impingement Syndrome: If the shoulder joint does not heal properly, it may lead to impingement syndrome, where the tendons of the rotator cuff become irritated.

Recommendations
1. Consult an Orthopedic Specialist: If you haven’t already, it’s crucial to see an orthopedic surgeon who specializes in shoulder injuries. They can assess the healing progress through imaging studies and determine if further intervention is necessary.

2. Physical Therapy: A tailored physical therapy program can help you regain strength and mobility. Therapists can provide exercises that focus on flexibility, strength, and functional movements.

3. Monitor Symptoms: Keep track of your symptoms. If you notice increased pain, swelling, or a decrease in mobility, it’s essential to report these changes to your healthcare provider.

4. Patience and Persistence: Healing takes time, and it’s important to be patient with your body. Consistent rehabilitation efforts can lead to significant improvements over time.

In summary, while the recovery from a scapula fracture can be lengthy and may involve some challenges, many individuals do regain full function with appropriate treatment and rehabilitation. It’s essential to stay proactive in your recovery and seek the necessary medical guidance to optimize your healing process.
Wishing you a smooth recovery!
Best regards,
Doctor Q&A Teams

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