SUMMARY
The aim of this study is to discuss the functional outcome, clinical outcome and pain scores of scapular fractures and to analyze these outcome results based on fracture location. A systematic review in accordance with the PRISMA guidelines was conducted. A total of 78 RTSA in 12 articles were retained for qualitative analysis. The average minimum follow-up was 33.3 ± 14.4 months (range 12-60 months) and the mean age was 74.4 ± 5.6 years (range 63-85 years) with a mean female percentage of 90.9%. Overall, the mean DASH score was 39.8 ± 9.4 points (range 29.5-48.0 points), ASES score 53.4 ± 23.3 points (range 13.3-95.0 points), SST 3.2 ± 2.2 points (range 0.0-5.1 points), the only OSS 28.0 points and Constant-Murley shoulder score 50.5 ± 20.0 points (range 31.5-69.0). The mean anterior elevation was 91.5° ± 30.7° (range 46.0°-160.0°), abduction 87.8° ± 21.8° (range 55.0°-125.0°), external rotation 33.2° ± 22.2° (range 9.0°-85°) and the only internal rotation was 60.0°. The VAS score averaged of 3.8 ± 2.8 points (range 0.8-9.0 points). A subgroup analysis of acromial and scapular spine fractures was performed. Acromial and scapular spine fractures have an undeniable effect on RTSA outcomes.