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Imaging of Traumatic Shoulder Girdle Injuries.

Nicholas M Beckmann1, Latifa Sanhaji1, Naga R Chinapuvvula1

  • 1Department of Diagnostic and Interventional Imaging, McGovern Medical School, The University of Texas Health Science Center at Houston, 6431 Fannin Street, 2.130B, Houston, TX 77030, USA.

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Shoulder girdle trauma is common but can be missed due to complex anatomy. This review covers sternoclavicular dislocations, clavicle fractures, acromioclavicular separations, shoulder dislocations, scapula fractures, and scapulothoracic dissociation.

Keywords:
AcromioclavicularClassificationGlenohumeralHumerusScapulaShoulderSternoclavicularTrauma

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Area of Science:

  • Orthopedics
  • Radiology
  • Emergency Medicine

Background:

  • Shoulder girdle trauma is a frequent emergency department presentation.
  • Complex shoulder osteology can lead to easily overlooked injuries.
  • Radiographs are standard, but cross-sectional imaging aids visualization of certain structures.

Purpose of the Study:

  • To review the spectrum of shoulder girdle injuries.
  • To discuss presentation, imaging evaluation, and classification.
  • To highlight diagnostic pitfalls and indications for advanced imaging.

Main Methods:

  • Review of common shoulder girdle injuries.
  • Discussion of imaging modalities including radiography, computed tomography (CT), and magnetic resonance (MR).
  • Classification and diagnostic criteria for each injury type.

Main Results:

  • Detailed description of sternoclavicular dislocations, clavicle fractures, acromioclavicular separations, shoulder dislocations, scapula fractures, and scapulothoracic dissociation.
  • Emphasis on imaging findings and potential diagnostic challenges.
  • Guidelines for utilizing CT and MR imaging.

Conclusions:

  • Accurate diagnosis of shoulder girdle trauma requires awareness of complex anatomy and imaging limitations.
  • Advanced imaging like CT and MR are crucial for specific injuries.
  • Understanding pitfalls improves diagnostic accuracy in emergency settings.