A concurrent clavicle and scapular fixation in a complex floating shoulder girdle: A case report

• Author Details:   
• Lavindra Tomar
• Gaurav Govil ^*

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The isolated clavicle and scapular fractures are commonly managed by conservative measures. A concomitant injury of clavicle, scapula and rib fractures following a high energy trauma causes significant disruption leading to complex floating shoulder girdle. The literature lacks in clear treatment guidelines for this rare entity.  The concurrent clavicle and scapular fracture in a 42-year-old lady with associated ipsilateral multiple rib fractures involving right shoulder girdle presented ten days after injury with severe pain and marked discomfort in doing any routine daily activity. The injury was evaluated by computer tomography and managed by fixation of clavicle and scapular fracture for a favourable outcome. The complex shoulder girdle injury needs an individualized management. The early identification of complex injury pattern, a thorough assessment by CT evaluation and primary stable fixation allowed an early rehabilitation with a good clinical and functional outcome.   

Keywords: Clavicle, Scapular, Fracture, Floating shoulder, Polytrauma