Data archive of "Surgical versus Non-Surgical Treatment of Extra-articular Scapula Fractures: A Systematic Review and Meta-Analysis"

Name: Data archive of "Surgical versus Non-Surgical Treatment of Extra-articular Scapula Fractures: A Systematic Review and Meta-Analysis"
Published: 2026
Keywords: trauma; shoulder; scapula; scapula neck; scapula body; fracture; floating shoulder, 610 Medizin

URN zum Zitieren dieses Dokuments:: urn:nbn:de:bvb:355-epub-784941
DOI zum Zitieren dieses Dokuments:: 10.5283/epub.78494

Stehling, Lara ; Ricker, Elena ; Klute, Lisa

; Henßler, Leopold ; Knüttel, Helge

; Zeman, Florian

; Alt, Volker

; Kerschbaum, Maximilian

Lizenz: Creative Commons Namensnennung 4.0 International
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Veröffentlichungsdatum dieses Volltextes: 26 Jan 2026 08:36

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Data supporting an article published in "JSES Reviews, Reports, and Techniques" (https://doi.org/10.1016/j.xrrt.2026.100666).

Background

Scapula fractures are historically managed conservatively. Although surgical treatment has become increasingly common and is associated with favorable outcomes, comparative studies of surgical versus non-surgical management remain scarce. To the best of our knowledge, this meta-analysis is the first systematic comparison of outcomes in extra-articular scapula fractures according to fracture localization.

Methods

MEDLINE, Embase, CENTRAL, ClinicalTrials.gov, and the WHO ICTRP were systematically searched in April 2024 for studies on extra-articular scapula fractures. Two reviewers independently conducted a two-stage screening process. Patients were grouped into scapular neck, scapular body, and floating shoulder fractures, each stratified by surgical or non-surgical management. Surgically treated floating shoulder injuries were further categorized by clavicle fixation alone or combined scapula- clavicle fixation. Outcomes included the Constant Score (CS), University of California Los Angeles Shoulder Score (UCLA) and Disabilities of the Arm, Shoulder and Hand Score (DASH). A random-effects meta-analysis was performed.

Results

Twenty-six studies including 601 patients met the inclusion criteria. No statistical difference was observed for scapular neck fractures (p= 0.62; mean CS: surgical 93.6 vs. non-surgical 89.6). In scapular body fractures, Constant Score differences were not significant, while DASH Scores showed a trend favoring surgery (p= 0.05; surgical 5.9 vs. non-surgical 12.8). For floating shoulder injuries, Constant Scores were similar between non-surgical management (77.3) and clavicle fixation alone (76.7), whereas combined scapula-clavicle fixation yielded higher scores (87.0; p= 0,14).

Conclusion

Surgical intervention for extra-articular scapular fractures showed no significant overall benefit, though floating shoulder injuries trended toward clinically meaningful improvement. Current evidence is limited by heterogeneity, highlighting the need for high-quality prospective studies to guide optimal management.

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