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Related Experiment Videos

The floating shoulder.

A van Noort1, Chr van der Werken

  • 1Department of Orthopaedic Surgery, Spaarne Hospital Hoofddorp, P.O. Box 770, 2130 AT Hoofddorp, The Netherlands. a.van.noort01@freeler.nl

Injury
|June 21, 2005
PubMed
Summary
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Floating shoulder, a rare injury from high-energy trauma, involves ipsilateral scapular neck and clavicular shaft fractures. Current studies offer limited treatment recommendations for displaced fractures, questioning the link between malunion and functional outcomes.

Area of Science:

  • Orthopedic Surgery
  • Trauma Medicine
  • Anatomy

Background:

  • Floating shoulder is defined as ipsilateral scapular neck and clavicular shaft fractures.
  • This injury pattern typically results from high-energy trauma.
  • It is considered unstable with a high risk of displacement.

Purpose of the Study:

  • To review the current understanding of the anatomical, biomechanical, and clinical aspects of the floating shoulder.
  • To identify the challenges in managing this rare injury.
  • To evaluate the existing literature for treatment recommendations.

Main Methods:

  • Literature review of anatomical, biomechanical, and clinical studies.
  • Analysis of injury mechanisms and patho-anatomy.
  • Assessment of reported clinical outcomes and treatment strategies.

Related Experiment Videos

Main Results:

  • The patho-anatomy of the floating shoulder is crucial for identification and treatment planning.
  • Existing clinical studies do not provide definitive treatment recommendations for displaced fractures.
  • The correlation between functional outcomes and scapular neck malunion remains uncertain.

Conclusions:

  • A comprehensive understanding of the floating shoulder's patho-anatomy is essential.
  • Further research is needed to establish evidence-based treatment guidelines.
  • The impact of malunion on functional outcomes requires additional investigation.