- Visibility 352 Views
- Downloads 326 Downloads
- Permissions
- DOI 10.18231/j.ijor.2025.008
-
CrossMark
- Citation
A concurrent clavicle and scapular fixation in a complex floating shoulder girdle: A case report
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
References
- Heng K. "Floating shoulder" injuries. Int J Emerg Med. 2016;9(1):13. Pires RE, Giordano V, de Souza FSM, Labronici PJ. Current challenges and controversies in the management of scapular fractures: a review. Patient Saf Surg. 2021;15(1):6. DeFranco MJ, Patterson BM. The floating shoulder. J Am Acad Orthop Surg.2006;14(8):499–509. Pasapula C, Mandalia V, Aslam N. The floating shoulder. Acta Orthop Belg. 2004;70(5):393–400. Owens BD, Goss TP. The floating shoulder. J Bone Joint Surg Br. 2006;88(11):1419–24. López-Cervantes RE, Quintero-Hernández S, Padilla-Rojas LG, Knierzinger D, Kralinger FS, Gómez Acevedo JM. Floating Shoulder Injuries, What Parameters are Important and their Treatment Options. MOJ Orthop Rheumatol.2017;9(4): 11–12. Williams GR, Naranja J, Klimkiewicz J, Karduna A, Iannotti JP, Ramsey M. The floating shoulder: a biomechanical basis for classification and management. J Bone Joint Surg Am. 2001; 83:1182–7. Friederichs J, Morgenstern M, Bühren V. Scapula fractures in complex shoulder injuries and floating shoulders: a classification based on displacement and instability. J Trauma Manag Outcomes. 2014;8:16. Labler L, Platz A, Weishaupt D, Trentz O. Clinical and functional results after floating shoulder injuries. J Trauma. 2004;57(3):595–602. Harris RD, Harris JH Jr. The prevalence and significance of missed scapular fractures in blunt chest trauma. AJR Am J Roentgenol. 1988;151(4):747–50. Elmadag M, Ceylan HH, Bilsel K, Erdil M. Floating shoulder: ipsilateral clavicle, scapular body and glenoid fracture: A case report. Malays Orthop J. 2012;6(SupplA):35–7. Tomar and Govil /IP International Journal of Orthopaedic Rheumatology 2025;11(1):48-51 51 Oh CW, Kyung HS, Kim PT, Ihn JC. Failure of internal fixation of the clavicle in the treatment of ipsilateral clavicle and glenoid neck fractures. J Orthop Sci. 2001;6(6):601–3. Cunningham BP, Bosch L, Swanson D, McLemore R, Rhorer AS, Parikh HR, et al. The floating flail chest: Acute management of an injury combination of the floating shoulder and flail chest. J Orthop Trauma Rehab. 2020;27(1):10–5. Chuang CH, Huang CK, Li CY, Hu MH, Lee PY, Wu PT. Surgical stabilization of the ipsilateral scapula and rib fractures using the mirror Judet approach: a preliminary result. BMC Musculoskelet Disord. 2022;23(1):105. Pailhes RG, Bonnevialle N, Laffosse J, Tricoire J, Cavaignac E, Chiron P. Floating shoulders: Clinical and radiographic analysis at a mean follow-up of 11 years. Int J Shoulder Surg. 2013;7(2):59–64.
How to Cite This Article
Vancouver
Tomar L, Govil G. A concurrent clavicle and scapular fixation in a complex floating shoulder girdle: A case report [Internet]. IP Int J Orthop Rheumatol. 2025 [cited 2025 Oct 17];11(1):48-51. Available from: https://doi.org/10.18231/j.ijor.2025.008
APA
Tomar, L., Govil, G. (2025). A concurrent clavicle and scapular fixation in a complex floating shoulder girdle: A case report. IP Int J Orthop Rheumatol, 11(1), 48-51. https://doi.org/10.18231/j.ijor.2025.008
MLA
Tomar, Lavindra, Govil, Gaurav. "A concurrent clavicle and scapular fixation in a complex floating shoulder girdle: A case report." IP Int J Orthop Rheumatol, vol. 11, no. 1, 2025, pp. 48-51. https://doi.org/10.18231/j.ijor.2025.008
Chicago
Tomar, L., Govil, G.. "A concurrent clavicle and scapular fixation in a complex floating shoulder girdle: A case report." IP Int J Orthop Rheumatol 11, no. 1 (2025): 48-51. https://doi.org/10.18231/j.ijor.2025.008