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Scapular fractures are uncommon, and the spine of the scapula is a particularly rare site of injury. As a result, our knowledge of these injuries, the management options and the functional outcome is limited. We report a rare case of a scapular spine fracture in a patient with rotator cuff arthropathy with no obvious history of trauma. The pathophysiology behind this is unclear; however, we suggest that a combination of cuff arthropathy, steroid use and chronic cough contributed to it. Reverse total shoulder arthroplasty is commonly used
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