A Modified Judet Approach to the Scapula

Operative treatment of scapula fractures is uncommon, but is indicated for significantly displaced fractures or intra-articular fractures. This modified Judet approach for exposure of scapula fractures combines several important goals: 1) exposure of all bony elements of the scapula which have adequate bone stock for internal fixation; 2) minimal trauma to the rotator cuff musculature; and 3) protection of the major neurologic structures (suprascapular nerve superiorly and axillary nerve laterally). The main advantage of the exposure is limiting muscular dissection, which can potentially improve rehabilitation and limit morbidity of the operation.