The scapula (shoulder blade) is surrounded by muscle, so many fractures here heal well without surgery. Fractures that extend into the shoulder socket (glenoid) or the neck of the shoulder blade are treated more cautiously in the early weeks.
This page explains how a scapula (shoulder blade) fracture is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
The scapula (shoulder blade) is surrounded by muscle, so many fractures here heal well without surgery. Fractures that extend into the shoulder socket (glenoid) or the neck of the shoulder blade are treated more cautiously in the early weeks.
A scapula fracture often signals substantial energy—look carefully for associated chest and shoulder injuries.
This fracture may be treated with or without surgery, depending on the specific fracture pattern, how much the bone has shifted (displacement), and your individual situation. Your surgeon will determine the best approach for you.
A sling.
Weight bearing as tolerated (WBAT) on the arm for most scapula fractures. If the fracture involves the socket (glenoid) or the neck of the shoulder blade, a more cautious approach is used instead — see Motion below.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
No resistance or strengthening (NRM) is advised for about 6 weeks for fractures involving the glenoid or neck of the shoulder blade. Gentle pendulum exercises (letting the arm hang and gently swing) typically begin around 2 weeks.
Shoulder motion and scapular strengthening after comfort and associated injuries permit; therapy often helpful.
Follow-up visits with X-rays at 2 weeks and 6–8 weeks.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Work or School: Desk work as tolerated; lifting/manual work after motion and strength recover.
Sports or High-Risk Activity: Usually 8–12 weeks or longer depending on associated chest/shoulder injuries.
Breathing difficulty, chest pain, neurovascular deficit, significant displacement, glenoid involvement, or associated trauma.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A sling.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.