Scapula fractures are relatively rare fractures which are typically a result of high energy trauma. Associated multisystemic injuries, therefore, occur with a high frequency. The management of scapula fractures has historically been nonoperative, perhaps in part due to the paucity of information regarding outcomes, combined with a relative unfamiliarity with treating these injuries. It is likely, however, that intraarticular fractures, and certain other highly displaced variants, have a better outcome when treated operatively. A well-conceived diagnostic work-up and a properly executed plan of rehabilitation are requisite.