We present the first reported treatment failure of a reconstructed scapula body that proceeded to nonunion. This is a unique
case report of an otherwise healthy patient who underwent open reduction and internal fixation of a scapula fracture nonunion,
which is very rare. Failure of internal fixation in this application has not been reported, and, to our knowledge, this is
only the fifth case report of a scapula body nonunion that was reconstructed. Of 159 reported cases of open reduction and
internal fixation for treatment of scapula neck and body fractures (with or without intraarticular glenoid fractures), there
is not one reported case of a nonunion. Our case is described in detail, including the method of surgical reconstruction,
and a review of the literature regarding surgical treatment of scapula nonunions after nonoperative treatment also is presented.
Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest,
patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved the reporting of this case report, that all investigations
were conducted in conformity with ethical principles of research, and that informed consent for participation in the study
was obtained.