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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2017, Number 4

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Ortho-tips 2017; 13 (4)

Floating shoulder, range inspection and management algorithm

López CRE, Pérez AJM, Gómez AJM, Knierzinger D, Bermúdez SI, Medina RF, Kralinger FS

Language: Spanish
References: 27
Page: 169-180
PDF size: 352.13 Kb.


ABSTRACT

Introduction: Floating shoulder (FS) is the disruption of the superior shoulder suspensory complex in 2 or more sites. FS injury is caused by high energy mechanisms. FS is an uncommon injury, accounting for 0.1% of all bone fractures. Currently there is no defined treatment algorithm or classification for FS, thus the instability criteria and surgical indications still unclear. Our goal is that through the review of scope, to implement a new treatment algorithm for FS decision making. Material and methods: We made a scoping review of the literature using the methodology by Colquhoun (2014). Then, we developed a literature and expert consult based diagnostic and treatment algorithm, analyzing 8 floating shoulder cases with at least 1 year follow up. Results: By analyzing 18 publications and reviewing 8 floating shoulder cases, a treatment algorithm was made. After analyzing the case series, functional results in the group treated according to the algorithm (75%) were an average Quick DASH of 17.4 ± 6.4, whereas in the group not treated according to the algorithm (25%) a Quick DASH of 42 ± 29.3 was obtained. Conclusion: A careful evaluation of each case is mandatory to define the appropriate treatment. Cases treated according to the algorithm obtained better functional results according to Quick-DASH.


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