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The floating shoulder. A multicentre study.

A van Noort1, R L te Slaa, R K Marti

  • 1Reinier de Graaf Hospital, Delft, The Netherlands.

The Journal of Bone and Joint Surgery. British Volume
|August 28, 2001
PubMed
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This study on floating shoulder injuries found that conservative treatment yields good outcomes when the glenoid is not dislocated. This rare injury is not inherently unstable, offering hope for effective non-surgical management.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Biomechanics

Background:

  • Floating shoulder is a rare injury involving ipsilateral clavicle and scapular neck fractures.
  • This injury pattern can significantly impact shoulder function and stability.

Purpose of the Study:

  • To review outcomes of patients with floating shoulder injuries.
  • To evaluate the effectiveness of conservative versus operative treatment for this condition.

Main Methods:

  • Retrospective review of 46 patients with floating shoulder injuries treated between 1991 and 1996.
  • Analysis of patient records and radiographs, with a mean follow-up of 35 months.
  • Comparison of functional outcomes (Constant score) based on treatment type and glenoid stability.

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Main Results:

  • Conservative treatment showed a mean Constant score of 76, while operative treatment yielded a mean score of 71.
  • Patients treated conservatively without caudal glenoid dislocation achieved a significantly higher mean score (85) compared to those with dislocation (42).
  • The injury is not inherently unstable, and good functional outcomes are achievable with non-operative management in most cases.

Conclusions:

  • Floating shoulder injuries, in the absence of caudal glenoid dislocation, can be effectively managed conservatively.
  • Conservative treatment provides a good functional outcome for patients with this rare injury.
  • Glenoid stability is a critical factor in determining the functional success of treatment for floating shoulder.