medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2007, Number 6

<< Back Next >>

Acta Ortop Mex 2007; 21 (6)

Treatment of the floating shoulder. Eight cases

Cerda GCA, Morales VJ, Martínez FLM

Language: Spanish
References: 15
Page: 333-337
PDF size: 114.29 Kb.


ABSTRACT

Objective: To show the experience in management of eight cases of floating shoulder. Material and methods: Descriptive, ambispective, longitudinal and observational study of eight patients treated during the period of November 2003 to April 2005. We determined age, sex, mechanisms of injury, injuries associated to the extremity and other systems and functional results were evaluated. Results: Eight patients treated, 7 men and 1 woman, age from 27 to 54 years, the average of hospital stay was of 13.25 days. The dominant extremity was injuried in the 85.5% of the cases. The most frequent morphologic pattern was a type II Ideberg glenoid fracture and a type I Allman clavicle fracture. Surgical treatment used in five patients were in the modalities of a plate to clavicle, or plate to the glenoid. Patients with acromioclavicle dislocation underwent to techniques of Phemister and Stewart. To patients treated with conservative methods were treated with an immobilizer of the shoulder plus device in 45° and 90° of abduction.


REFERENCES

  1. Gaenslen E: The floating shoulder. Emedicine. 2002: 1-9.

  2. Edwards S, Whittle A, Wood G: Nonoperative treatment of ipsilateral fractures of the scapula and clavicle. J Bone Joint Surg Am 2000; 83-A(6): 774-80.

  3. Arts V, Louette L: Scapular neck fractures; an update of the concept of floating shoulder. Injury. Int J Care Injur 1999; 30: 146-8.

  4. Williams G, Naranja J, Klimkiewicz J, Karduna A, Lannotti J, Ramsey M: The floating shoulder: a biomechanical basis for classification and management. J Bone Joint Surg Am 2001: 83-A.

  5. Toro J, Helfet D: Surgical management of the floating shoulder. Tech Should Elbow Surg 2004; 5(2): 116-21.

  6. Kenneth A, Connor P, Karunakar M, Sims S, Bosse M, Kellam J: The floating Shoulder: Clinical and functional results. J Bone Joint Surg Am 2001; 83-A: 1188-94.

  7. Van NA, Te Slaa, Martín R: The floating Shoulder: A multicenter Study. J Bone Joint Surg Br 2001; 83-B(6): 795-8.

  8. Labler L, Platz A, Weishaupt D, Trentz O: Clinical and functional results after floating shoulder injuries. J Trauma 2004; 57(3): 595-602.

  9. Giordano G, Accabled F, Besombes C: Floating shoulder: Orthopaedic and surgical management of series of 45 patients. J Bone Joint Surg Br 2004; 86-B(1): 64 (8): 1182-7.

  10. Versy T, Mittal R, Agarwal S, Dosani A, Multiple trauma and scapula fractures: So What? J Trauma 2003; 55(6): 1145-7.

  11. Hashiguchi H, Hiramoto I: Clinical outcome of the treatment of floating shoulder by osteosynthesis for clavicular fracture alone. J Should Elbow Surg 2003; 12(6): 589-91.

  12. Rawes M, Dias J: Long-term results of conservative treatment for acromioclavicular dislocation. J Bone Joint Surg Br 1996; 78-B(3): 410-2.

  13. Robinson C, Court-Brown C, McQueen M: Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg Am 2004; 86-A(7): 1359-65.

  14. Mckoy B, Bensen C, Hartsock L: Fractures about the shoulder: conservative management. Orthop Clin North Am 2000; 31: 205-16.

  15. Ramos L, Mencia R: Conservative treatment of ipsilateral fractures of the scapula and clavicle. J Trauma 1997; 42: 239-42.




2020     |     www.medigraphic.com