Because the scapula (shoulder blade) is surrounded by several muscles, it typically does not get injured. Scapula fractures account for just 1% of bone fractures. A high impact force such as a motor vehicle accident or a fall from high up usually causes a scapula fracture. Many additional injuries often accompany the fracture because of the extreme force to the body. A full medical exam and imaging of all the tissues and bones surrounding the scapula may be performed as a result.
Treatment for scapula fractures includes placing the arm in a sling and gradually initiating physical therapy to avoid developing a frozen shoulder and elbow contracture. It's not normal for treatment to involve surgery, but depending on the severity and location, it may be warranted.