Traumatic Shoulder Injuries: A Force Mechanism Analysis of Complex Injuries to the Shoulder Girdle and Proximal Humerus

Sheehan, Scott E.; Gaviola, Glenn C.; Sacks, Ari; Shi, Lewis L.; Smith, Stacy E.

doi:10.2214/ajr.12.9987

Cited by 16 publications

(24 citation statements)

References 74 publications

(147 reference statements)

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“…The trapezius, sternocleidomastoid, sternohyoid and deltoid muscles also attach to the clavicle (Figure 2 and 3). The clavicle thus provides significant stability and power to the arm and shoulder [2].…”

Section: Discussionmentioning

confidence: 99%

“…Disruptions can occur as two ligamentous injuries, two fractures or a combination of both. Instability most commonly occurs from fractures of the distal clavicle and acromioclavicular or coracoclavicular ligaments, the scapular neck and lateral body, the coracoid and acromion process, or the [2].…”

Section: Anatomymentioning

confidence: 99%

“…This often occurs when patients fall onto their shoulder with the arm in adduction. Indirect mechanisms of injury include rotational, translational or axial momentum of the body around the shoulder (often occurring during a fall on an outstretched hand), as well as muscular contractions around the shoulder [2].…”

Section: Mechanism Of Injurymentioning

confidence: 99%

See 2 more Smart Citations

Clavicle Fractures: Allman and Neer Classification

Holder¹,

Kolla²,

Lehto³

2017

Journal of Advances in Radiology and Medical Imaging

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Section: Discussionmentioning

confidence: 99%

Section: Anatomymentioning

confidence: 99%

See 1 more Smart Citation

Clavicle Fractures: Allman and Neer Classification

Holder¹,

Kolla²,

Lehto³

2017

Journal of Advances in Radiology and Medical Imaging

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“…Stabilization is ability to consciously or unconsciously control fine movement of joint. Stability of scapular bone causes influence on normal movement of shoulder girdle [19]. Scapula is attached many muscles to assist stability of shoulder girdle, sternoclavicular joint, scapulothoracic joint, which is false joint, should be established other joints above all [20].…”

Section: Discussionmentioning

confidence: 99%

Improvements of Functional Activity and Pain Relief through Stabilization Exercise in Capsulorrhaphy Surgery of Shoulder Dislocation Patients

Sung¹,

Park

Lee³

2015

IJBSBT

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The purpose of this study cares to investigate effect of shoulder stabilization exercise at the pain control, function and range of motion of shoulder girdle after surgery of shoulder dislocation patients. The subjects were 30 patients who operated on capsulorrhaphy surgery of shoulder dislocation patients. They were assigned by random sampling to an experimental group (n = 15) to which stabilization exercise was applied and a control group (n = 15) to which ordinary physical treatment was applied. To evaluate the degree of pain prior to and after the treatment, a 100 mm visual analogue scale (VAS) was used. The Constant-Murley Scale (CMS) and simple shoulder test (SST) was used to determine the function and condition of the shoulder joints of the subjects. To determine the range of motion, a Dartfish program was used. The results of comparison of the therapeutic effect in the experimental and control groups revealed significant differences in active abduction, SST, and power component of the CMS. The results suggest that shoulder stabilization exercise positively affects pain alleviation and functional recovery in shoulder dislocation patients.

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“…The mechanisms of PDS can be classified as atraumatic and traumatic. The latter is mostly caused by high-energy trauma, while fracture is usually caused by axial loading, with the arm in an adducted, flexed, and internally rotated position [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of unusual locked posterior fracture–dislocation of the shoulder: a case series

Park

Kim

Sur

et al. 2020

Clin Shoulder Elbow

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Background: Locked posterior fracture-dislocation of the shoulder (LPFDS) is a very rare injury that occurs predominantly in young patients following high-energy trauma. The long-term outcome of the treatment of this injury is often poor. This study sought to present the characteristics of injury, discuss the pathological anatomy, and to report the treatment outcomes of our case series. Methods: Between January 2012 and May 2018, a total of 234 patients who underwent surgical treatment for proximal humerus fractures were reviewed. Among them, six patients (mean age, 54.7 years; range, 35–76 years) with LPFDS were included in this study. Four patients were treated with open reduction and internal fixation (ORIF) with locking plates, one with hemiarthroplasty, and one with reverse total shoulder arthroplasty. Clinical results were evaluated by Constant, American Shoulder and Elbow Surgeons (ASES), and visual analog scale (VAS) scores and radiologic evaluation was conducted using follow-up radiographs. Results: The mean length of follow-up was 26.2 months (range, 12–54). The mean Constant, ASES, and VAS scores were 66.7, 65.5, and 2.2, respectively. Four patients who underwent ORIF achieved bony union, but avascular necrosis (AVN) of the humeral head was observed in two patients. No complications were observed in the patients who underwent arthroplasty surgery until final follow-up. Conclusions: In the treatment of LPFDS, replacement arthroplasty can produce predictable results. The approach of ORIF may be considered as a first choice of treatment in young patients but is sometimes correlated with postoperative complications such as AVN and the functional outcomes may be unpredictable. Therefore, patients should undergo careful diagnosis and treatment of this type of injury.

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Traumatic Shoulder Injuries: A Force Mechanism Analysis of Complex Injuries to the Shoulder Girdle and Proximal Humerus

Cited by 16 publications

References 74 publications

Clavicle Fractures: Allman and Neer Classification

Clavicle Fractures: Allman and Neer Classification

Improvements of Functional Activity and Pain Relief through Stabilization Exercise in Capsulorrhaphy Surgery of Shoulder Dislocation Patients

Treatment of unusual locked posterior fracture–dislocation of the shoulder: a case series

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