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Karuppaiah Karthik, Jason Lau, Joydeep Sinha, Adel Tavakkolizadeh
Department of Orthopaedic Surgery, King's College Hospital, Denmark Hill, London, United Kingdom
Correspondence Address:
Karuppaiah Karthik
King's College Hospital, Denmark Hill, London - SE5 9RS
United Kingdom
 Source of Support: None, Conflict of Interest: None  | 1 |
DOI: 10.4103/0973-6042.140117
We report a case of bilateral scapular spine stress fracture, treated conservatively on one side and operatively on the other side. Besides, we performed a literature review to establish management options. A 61-year-old right-handed gentleman came to our clinic with acute on chronic deterioration of shoulder pain and loss of arm function. Clinical assessment and investigations revealed long-standing bilateral rotator cuff tear and scapular spine stress fractures. The fracture on the right side united with conservative management for 2 months. However, his left side remained symptomatic with pain, abnormal mobility and no radiological evidence of union. The fracture progressed to union after fixation and bone grafting. At the final follow-up at 2 years, the patient was asymptomatic with regards to the fractures with Oxford Shoulder Score (OSS)-30 and Disabilities of the Arm, Shoulder and Hand (DASH)-30.8. Fracture union either by conservative or operative treatment is associated with good functional outcome and is supported by our review.
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