Fracture of the Scapula

Clinical History:
This 56 year old came to emergency room after a motorcycle crash. He had a dislocated wrist and was treated for a distal radius and ulnar styloid fracture. No other fractures were detected on plain radiographs. The patient continued to have shoulder pain three weeks after discharge, for which MRI of the shoulder was performed.

Diagnosis:
Fracture of the Scapula

MR Technique:
3T (Siemens Verio) using a shoulder coil. Image 1: Axial T2-weighted sequence with fat saturation using BLADE option for motion correction (TR/TE 3780/70 ms, slice thickness 3 mm, scan time 4 min 10 sec); Image 2: Coronal T2-weighted sequence with fat saturation using BLADE option for motion correction (TR/TE 4620/86 ms, slice thickness 3 mm, scan time 2 min 42 sec).

Imaging Findings:
There is a comminuted, mildly displaced fracture in the body of the scapula. No extension is seen into the glenoid. Diffusely increased T2 signal is seen in the teres minor and subscapularis muscle with somewhat increased signal in the infraspinatus. Mild callus formation is suggestive of this fracture being subacute.