Isolated Scapular Fracture Following High-Voltage Electrical Injury Without External Trauma: A Case Report

Introduction: Electrical injuries commonly present to emergency departments with burns, arrhythmias, or neurological complications, while skeletal injury due to tetanic muscle contraction is often overlooked. Case Presentation: A 43-year-old electrician presented 30 minutes after accidental contact with an 11 kV live wire. He was conscious, haemodynamically stable, and had no burns. Persistent shoulder pain and restricted motion prompted imaging, which revealed a displaced scapular-body fracture involving the lateral border. Early surgical fixation was performed within eight hours using a single-incision, minimally invasive Brodsky approach. Reduction was aided by shoulder abduction and external rotation, allowing fragment manipulation and fixation with two pre-contoured 3.5 mm locking plates. The patient recovered uneventfully and achieved full, pain-free motion with a Constant–Murley score of 95 at one year. Conclusion: High-voltage electrocution can produce isolated scapular fractures through violent muscle contractions even without external burns or impact. Early recognition, imaging, and multidisciplinary management ensure complete recovery and prevent long-term disability.