© Copyright 2026 American Medical Association. All rights reserved.
Closed treatment of a scapular fracture without manipulation involves the non-invasive management of a fracture located in the scapula, which is the bone that connects the upper arm to the trunk of the body. This procedure is specifically indicated for nondisplaced fractures, meaning that the bone fragments remain in their normal position and alignment. During this treatment, the physician will perform a thorough evaluation of the fracture, which includes obtaining separate radiographs (X-rays) to confirm the presence of the fracture. A critical component of the assessment is the neurovascular examination, which checks the integrity of the nerves and blood vessels surrounding the injury site to ensure there is no compromise to these structures. Since no manipulation of the fracture fragments is necessary in this case, the treatment focuses on immobilizing the shoulder to promote healing. This is typically achieved by placing the affected arm in a sling, which helps to stabilize the shoulder joint and reduce movement, allowing the fracture to heal properly over time.
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