title: Novel technique for a symptomatic subscapularis herniation through a scapu-lar defect.
abstract: Fractures of the scapula are rare and have been reported to account for only 1% of all fractures and 3%-5% of upper extremity fractures. Several studies have reported successful outcomes with non-operative treatment of scapula fractures. Although non-operative treatments are successful in a very high percentage of patients, very few cases of non-union of scapular body fractures have been reported. In our review of the literature, we found two case reports of scapular body fractures developed into non-unions. In both of these cases, open reduction and internal fixation with reconstruction plates and bone graft was successful at eliminating pain and restoring function. This is a case report of a patient with a symptomatic, extra-articular scapular body defect from a non-union that was treated successfully with an acellular dermal extracellular matrix and bone graft using a novel technique.
authors.affiliation: Luis Grau, Ali A Alhandi, Department of Orthopaedic Surgery, University of Miami, Jackson Memorial Hospital, Miami, FL 33136, United States.
authors.forename: Luis
authors.initials: L
authors.lastname: Grau
authors.affiliation: Luis Grau, Ali A Alhandi, Department of Orthopaedic Surgery, University of Miami, Jackson Memorial Hospital, Miami, FL 33136, United States.
authors.forename: Kevin
authors.initials: K
authors.lastname: Chen
authors.affiliation: Luis Grau, Ali A Alhandi, Department of Orthopaedic Surgery, University of Miami, Jackson Memorial Hospital, Miami, FL 33136, United States.
authors.forename: Ali A
authors.initials: AA
authors.lastname: Alhandi
authors.affiliation: Luis Grau, Ali A Alhandi, Department of Orthopaedic Surgery, University of Miami, Jackson Memorial Hospital, Miami, FL 33136, United States.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Goldberg
keywords: Acellular dermal extracellular matrix; Bone graft; Mesh repair; Non-union; Scapular fractures