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Joint Bone Spine
Volume 71, n° 6
pages 580-582 (novembre 2004)
Doi : 10.1016/j.jbspin.2003.10.001
Received : 20 June 2003 ;  accepted : 1 October 2003
Spontaneous fracture of the lower angle of scapula. Possible role of cough

Michel Franco a, , Laetitia Albano a, Aude Blaimont b, Dominique Barrillon a, Jean Bracco a
a Nephrology department, Hôpital Pasteur, 30, avenue de la voie Romaine, 06002 Nice cedex, France 
b  Nucear medecine department, Centre A. Lacassagne, avenue de Valombrose, 06002 Nice cedex, France 

*Corresponding author.

We report a case of a fracture of the inferior angle of the scapula related to prolonged cough, without triggering trauma, sport, or occupational activity. Bone insufficiency was present in this patient. Stress fractures of the scapula are rare; the fatigue type is the most frequent, associated with sports or occupational activity. We do not find any published case report about scapula stress fracture related to cough, until rib fractures are frequent in this situation. Repetitive muscular activity of the serratus anterior and major rhomboid on the inferior angle of the scapula during cough may explain this avulsion fracture.

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Keywords : Stress fracture, Scapula, Cough

© 2003  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.