{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T03:20:39Z","timestamp":1793848839300,"version":"4.6.1"},"reference-count":9,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T00:00:00Z","timestamp":1599696000000},"content-version":"unspecified","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,7,19]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>We report the case of a 74-year-old woman who sustained a scapular spine (SS) fracture after a fall 4 weeks after reverse shoulder arthroplasty (RSA). Open reduction and internal fixation (ORIF) with locked 90\u00b0-double plating resulted in union of the SS fracture with a good outcome (subjective shoulder value: 80%; Constant score 67; 1\u2009year) despite of an adjacent lateral acromion fracture 3 weeks after ORIF. This is the second description in the literature of a successful double plate ORIF with union of an SS fracture after RSA. SS fractures are known to lead to poor RSA outcomes with a high mal-union rate and non-union rate. We describe the positioning of the plates and technical steps for successful ORIF to avoid complications, discuss the aftercare and report the outcome.<\/jats:p>","DOI":"10.1136\/bcr-2020-234727","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T02:26:36Z","timestamp":1599791196000},"page":"e234727","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Locked 90\u00b0-double plating of scapular spine fracture after reverse shoulder arthroplasty with union and good outcome despite plate adjacent acromion fracture"],"prefix":"10.1136","volume":"13","author":[{"given":"Stefan","family":"Bauer","sequence":"first","affiliation":[{"name":"Chirurgie de l'\u00e9paule, Service d'Orthop\u00e9die et Traumatologie, Ensemble Hospitalier de la C\u00f4te, Morges, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2059-8746","authenticated-orcid":false,"given":"Aur\u00e9lien","family":"Traverso","sequence":"additional","affiliation":[{"name":"Chirurgie de l'\u00e9paule, Service d'Orthop\u00e9die et Traumatologie, Ensemble Hospitalier de la C\u00f4te, Morges, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Walch","sequence":"additional","affiliation":[{"name":"Centre Orthop\u00e9dique Santy, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,9,10]]},"reference":[{"key":"2025082711542503000_13.9.e234727.1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.123531"},{"key":"2025082711542503000_13.9.e234727.2","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000001986","article-title":"Classification and morphological parameters of the scapular spine: implications for surgery","volume":"94","author":"Wang","year":"2015","journal-title":"Medicine"},{"key":"2025082711542503000_13.9.e234727.3","doi-asserted-by":"crossref","unstructured":"Lau SC , Large R . Acromial fracture after reverse total shoulder arthroplasty: a systematic review. Shoulder Elb 2019. 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