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A Journal on Sports Medicine

Official Journal of the Italian Sports Medicine Federation
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Medicina dello Sport 2013 March;66(1):113-7

language: English, Italian

Inferior pole of the scapula fracture in an adolescent footballer

Eirale C. 1, Bisciotti G. 1, Della Villa F. 2, Sannicandro I. 3

1 Aspetar, Qatar Orthopedic and Sports Medicine Hospital, Quatar;
2 Education Research Department, Isokinetic Medical Group, Bologna, Italy;
3 Science and Techniques of Motor Activities, University of Foggia, Foggia, Italy


The incidence of scapular fractures in sport is low and this condition is rare in football, since it is usually related to high-energy impact trauma. A 15-year-old goalkeeper presented a one day history of acute posterior shoulder pain. During training, while attempting to block a ball on the ground, he reported both a forced forward flexion and hyper-adduction movement of the left arm and a direct trauma on his left chest and scapula caused by the ball positioned between his body and the ground when he landed. Clinical and radiological investigations revealed an avulsion fracture of the inferior pole of the scapula. This lesion was treated conservatively and return to play was possible in 7 weeks. Scapular inferior pole avulsion fractures, though rare, can be a cause of posterior shoulder pain in footballers, particularly if adolescent. The outcome seems favorable with return to sport activity after a brief period of conservative treatment.

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