Fractured Scapula, Posterior View

Description

Seen from a posterior perspective, the male scapula is oriented with the glenoid cavity laterally and the medial border forming the vertebral (medial) margin. The scapular spine runs transversely across the dorsal surface toward the lateral angle, expanding into the acromion at its lateral end where it would articulate with the clavicle at the acromioclavicular joint. A diagonally oriented fracture line crosses the posterior surface, interrupting the continuity of the spine and extending toward the acromial process, with the fracture site emphasized in red. Clear bony landmarks remain readable, including the supraspinous and infraspinous fossae divided by the spine. Posterior scapular fractures carry specific teaching value because they sit at the junction of the shoulder girdle’s strut system and the rotator cuff attachments. Disruption of the spine and acromion can alter the origin of the deltoid and trapezius and may compromise the subacromial space, a practical concern in trauma cases where acromial fractures accompany scapular body injuries after high-energy impact. This view also supports discussion of associated injuries, including glenoid involvement that affects shoulder stability and the need to evaluate the superior shoulder suspensory complex (acromion, coracoid, clavicle, and ligamentous connections) when planning fixation. Use this artwork in orthopedic trauma lectures to contrast scapular body fractures with acromial and glenoid patterns, or in gross anatomy and musculoskeletal radiology courses to anchor posterior bony landmarks before transitioning to CT-based classification. It also fits operative planning figures for posterior shoulder approaches and patient-facing education on shoulder blade fractures. Anatomical accuracy verified by SciePro's Medical Advisory Board.