Unlike most other fractures in the elderly, scapular fractures are not typically associated with osteoporosis. According to the reported data, scapular fractures account for only 3-5% of all injuries to the shoulder girdle and for about 1% of all fractures.
The reason is that the scapula is well protected by a thick muscular envelope, is highly mobile and is located on the elastic chest wall. Scapular fractures result mostly from high-energy trauma and therefore are often found in younger patients.