## Overview Scapular fractures are uncommon and usually result from direct trauma. The supraglenoid tubercle is the most frequent site. Horses present with acute severe forelimb lameness and variable shoulder swelling. Treatment ranges from conservative management to internal fixation depending on the configuration. ## Causes Direct trauma (kicks, falls, collisions). ## Diagnosis Radiographs of the shoulder. Scintigraphy or computed tomography may be needed. Intra-articular analgesia helps localize pain. ## Treatment Many body or neck fractures are managed with rest. Supraglenoid tubercle fractures may benefit from surgical removal or fixation in selected cases. Prognosis varies. ## Recovery and Prognosis Fair to guarded depending on fracture type and articular involvement. ## Prevention Trauma avoidance.
acute severe forelimb lameness; shoulder swelling; shortened cranial stride; radiographic scapular fracture
## Overview Scapular fractures are uncommon and usually result from direct trauma. The supraglenoid tubercle is the most frequent site. Horses present with acute severe forelimb lameness and variable shoulder swelling. Treatment ranges from conservative management to internal fixation depending on the configuration. ## Causes Direct trauma (kicks, falls, collisions). ## Diagnosis Radiographs of the shoulder. Scintigraphy or computed tomography may be needed. Intra-articular analgesia helps localize pain. ## Treatment Many body or neck fractures are managed with rest. Supraglenoid tubercle fractures may benefit from surgical removal or fixation in selected cases. Prognosis varies. ## Recovery and Prognosis Fair to guarded depending on fracture type and articular involvement. ## Prevention Trauma avoidance.
acute severe forelimb lameness; shoulder swelling; shortened cranial stride; radiographic scapular fracture