{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T15:38:41Z","timestamp":1780760321845,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Scapular fractures (SFs) have historically been associated with severe trauma and multiple injuries. Recent studies have demonstrated improved outcomes. However, SFs have never been studied from a strictly rural or Australian perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The study's objective was to assess whether associations still exist between a fractured scapula and trauma scores, mortality rates, and other commonly associated injuries in a regional Australian trauma centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The study design examined prospectively collected data from a regional hospital between the years 2012 to 2021 presenting to the emergency department with traumatic SFs. Primary outcomes of interest were mortality rate, method of injury, ISS scores, and associated injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>One hundred and five patients had a SF. The median age was 49 with 93 (89%) being male. Most fractures were located in the body of the scapula (80%). The primary mechanism of injury was motorbike accidents (36%), falls (24%), and motor vehicle accidents (22%). Two patients died from their injuries (1.9%). Thirty\u2010four percent demonstrated mild trauma scores, with 36% moderate, 28% severe, and 1.9% critical. Commonly observed associated injuries included chest wall fractures, vertebral fractures, thoracic injuries, brain injury, and abdominal trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>A minority of SFs were associated with severe or critical trauma, and overall, patients who sustained a SF had a low mortality rate. These findings suggest that patients from regional areas have similar outcomes to those from more urban centres in other parts of the world.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Given these results, a re\u2010examination of whether SFs are a reliable marker of severe trauma should be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajr.13100","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T01:01:19Z","timestamp":1710378079000},"page":"388-393","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Scapular fractures: A regional and rural perspective"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7720-8895","authenticated-orcid":false,"given":"Nordan","family":"Flaaten","sequence":"first","affiliation":[{"name":"University of Queensland Faculty of Medicine  Brisbane Queensland Australia"},{"name":"Orthopedic Department University of Saskatchewan  Saskatoon Saskatchewan Canada"},{"name":"Orthopaedic Department Rockhampton Hospital  Rockhampton Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huissan","family":"Moslim","sequence":"additional","affiliation":[{"name":"Orthopaedic Department Rockhampton Hospital  Rockhampton Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Tang","sequence":"additional","affiliation":[{"name":"Orthopaedic Department Rockhampton Hospital  Rockhampton Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Varrall","sequence":"additional","affiliation":[{"name":"University of Queensland Faculty of Medicine  Brisbane Queensland Australia"},{"name":"Orthopaedic Department Rockhampton Hospital  Rockhampton Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005382-200004000-00006"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453679508995571"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313480507100110"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000044499.76736.9D"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(84)90056-1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198510000-00008"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000199191.14780.75"},{"issue":"4","key":"e_1_2_10_9_1","first-page":"889","article-title":"Multiple\u2010region scapular fractures had more severe chest injury than single\u2010region fractures: a prospective study of 107 blunt trauma patients","volume":"63","author":"Tadros AMA","year":"2007","journal-title":"J Trauma Inj Infect Crit Care"},{"issue":"2","key":"e_1_2_10_10_1","first-page":"218","article-title":"The relationship between the presence of scapula fracture and mortality and morbidity in cases with blunt thoracic trauma","volume":"29","author":"Kozanl\u0131 F","year":"2023","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197403000-00001"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31821c0b7f"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000867"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.025"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13983"},{"issue":"5","key":"e_1_2_10_16_1","first-page":"297","article-title":"Scapular fractures and concomitant injuries","volume":"15","author":"Akaraborwom O","year":"2012","journal-title":"Chin J Traumatol English ed"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2020.100880"},{"key":"e_1_2_10_18_1","unstructured":"2016 Census QuickStats: Central Queensland [Internet].Quickstats.censusdata.abs.gov.au.2021[cited 24 June 2021]. 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