S42.114 Nondisplaced fracture of body of scapula, right shoulder

Name of the Condition

• Nondisplaced fracture of body of scapula, right shoulder

Summary

A nondisplaced fracture of the body of the scapula refers to a break in the main, central portion of the shoulder blade bone where the fractured fragments remain in their normal alignment. This condition affects the right shoulder and typically results from trauma, causing pain and functional limitations without significant displacement of bone fragments.

Causes

Traumatic injury is the primary cause of nondisplaced fractures to the scapula's body. Common mechanisms include motor vehicle accidents, falls from height, or direct blows to the shoulder or back. Sports-related collisions or forceful impacts during physical activities may also lead to this type of fracture.

Risk Factors

• Participation in contact sports or activities with a high risk of falls.
• Osteoporosis or other bone-weakening conditions.
• Advanced age, which may increase susceptibility to fractures from minor trauma.
• Previous shoulder or upper arm injuries that affect bone integrity.

Symptoms

• Pain in the shoulder or upper back, especially with movement.
• Swelling, bruising, or tenderness over the shoulder blade.
• Limited range of motion in the shoulder joint.
• Difficulty lifting or rotating the arm.
• No visible deformity in most cases due to nondisplacement.

Diagnosis

Diagnosis begins with a physical examination to assess pain, swelling, and range of motion. Imaging studies, such as X-rays or CT scans, are typically used to confirm the fracture and verify that the bone fragments remain aligned without displacement. Additional tests may be ordered if associated injuries are suspected.

Treatment Options

Treatment often involves immobilization with a sling or brace to support the shoulder and allow healing. Pain management may include over-the-counter or prescription medications. Physical therapy is usually recommended to restore strength and mobility once initial healing occurs. Severe cases or those with complications may require surgical intervention.

Prognosis and Follow-Up

Most nondisplaced scapular fractures heal well with conservative treatment, and patients typically regain full function over several weeks to months. Follow-up appointments are important to monitor healing progress and adjust treatment as needed. Physical therapy may be continued to optimize recovery and prevent stiffness.

Complications

While rare, complications can include chronic pain, limited shoulder mobility, or nonunion (failure to heal) if the fracture is not properly managed. Infection or nerve damage may occur in cases requiring surgery. Early intervention and adherence to treatment plans help minimize these risks.

Lifestyle & Prevention

Avoid high-impact activities until cleared by a healthcare provider. Strengthen shoulder and back muscles through safe exercises to improve stability. Use protective gear during contact sports or activities with fall risks. Maintain bone health through a balanced diet and regular exercise to reduce fracture susceptibility.

When to Seek Professional Help

Seek immediate medical attention if you experience severe pain, inability to move the shoulder, or visible deformity after an injury. Contact a healthcare provider if pain persists or worsens despite treatment, or if you notice signs of infection (e.g., fever, increased swelling, redness).

Tips for Medical Coders

Document the specific location (right shoulder) and confirm the fracture is nondisplaced. Include details of the injury mechanism, imaging results, and treatment plan to support code assignment. Ensure documentation aligns with clinical findings to accurately reflect the condition.