Modified Posterior Approach for Scapular Body Non-union: A Case Report

Introduction: Scapular fractures are rare and usually unite with conservative treatment. Symptomatic non-union of the scapular body is exceptionally uncommon and can lead to chronic pain and functional limitation. Case Report: A 42-year-old female with a right scapular body fracture initially treated non-operatively developed persistent posterior shoulder pain and radiographic non-union at 1 year. She underwent open reduction and internal fixation using a modified posterior midline approach with dual 3.5-mm reconstruction plates and autologous iliac crest cancellous bone grafting. Conclusion: Solid union was achieved in 3 months, and the patient regained full, pain-free shoulder function at 1 year. A modified posterior approach allows dual-border exposure through a single incision with limited soft-tissue disruption, enabling stable fixation and excellent clinical outcome in scapular body non-union.