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Related Experiment Videos

The floating shoulder.

B D Owens1, T P Goss

  • 1Keller Army Hospital, West Point, New York 10996, USA. b.owens@us.army.mil

The Journal of Bone and Joint Surgery. British Volume
|November 1, 2006
PubMed
Summary
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Floating shoulder, a rare injury involving ipsilateral clavicle and glenoid fractures, often requires surgical intervention. Minimally displaced fractures may respond to non-operative care, but significant displacement necessitates surgical reduction and fixation.

Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Anatomy

Background:

  • Floating shoulder involves simultaneous ipsilateral midshaft clavicle and glenoid neck fractures.
  • This injury pattern is rare and anatomically complex.
  • Management requires a detailed understanding of the shoulder girdle.

Purpose of the Study:

  • To define the floating shoulder injury.
  • To outline the management principles for this condition.
  • To emphasize the role of surgical intervention.

Main Methods:

  • Review of the definition and anatomical considerations of floating shoulder.
  • Discussion of treatment options based on fracture displacement.
  • Emphasis on surgical reduction and fixation for displaced fractures.

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Main Results:

  • Floating shoulder is characterized by ipsilateral clavicle and glenoid fractures.
  • Non-operative management is suitable for minimally displaced fractures.
  • Displaced fractures at either or both sites indicate surgical management.

Conclusions:

  • Surgical intervention is indicated for most floating shoulder injuries.
  • Optimal outcomes for displaced floating shoulder injuries are achieved with surgical fixation.
  • Understanding shoulder girdle anatomy is crucial for effective management.