CASE REPORT: PDF OnlyScapular Fracture Complicating Suprascapular Neuropathy: The Role of Computed Tomography with 3D ReconstructionChan, Chi-Mina; Chung, Chin-Tenga, *; Lan, Howard Haw-ChungbAuthor Information aDepartment of Physical Medicine and Rehabilitation, Taichung, Taiwan, R.O.C. bDepartment of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C. *Correspondence to: Dr Chin-Teng Chung, Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, 160, Section 3, Chung-Kang Road, Taichung 407, Taiwan, R.O.C. E-mail: [email protected] Received: November 4, 2008; • Accepted: February 24, 2009. Journal of the Chinese Medical Association: June 2009 - Volume 72 - Issue 6 - p 340-342 doi: 10.1016/S1726-4901(09)70383-1 Metrics Abstract We report the case of a 43-year-old man who sustained a head injury with left frontal hematoma after being hit by a falling steel plate. He had persistent left shoulder pain but plain film could not clearly demonstrate the suspected scapular fracture, which was finally confirmed by 3-dimensional (3D) reconstructed computed tomography (CT). With the presence of fractures at the base of the coracoid process and the neck of the glenoid process of the scapula, suspected suprascapular neuropathy was confirmed by nerve conduction studies and electromyography. Despite atrophied muscle bulk of the supraspinatus, the patient showed good functional results after nonsurgical treatment. We suggest the use of CT with 3D reconstruction in patients with persistent shoulder pain, marked weakness and suspected scapular fracture not clearly demonstrated on plain film for better evaluation of the extent and complication of the fracture. © 2009 by Lippincott Williams & Wilkins, Inc.