The Superior Shoulder Suspensory Complex, Floating Shoulder Injuries, and Other Segmental Injuries to the Shoulder Girdle

2022 ◽  
pp. 126-135
Author(s):  
Chris Langhammer ◽  
Nicholas C. Danford
Keyword(s):  
Shoulder Girdle ◽  
Shoulder Injuries ◽  
Floating Shoulder

scholarly journals The floating flail chest: Acute management of an injury combination of the floating shoulder and flail chest

2020 ◽  
Vol 27 (1) ◽  
pp. 10-15
Author(s):  
Brian P Cunningham ◽  
Liam Bosch ◽  
David Swanson ◽  
Ryan McLemore ◽  
Anthony S Rhorer ◽  
...  
Keyword(s):  
Operative Treatment ◽  
Retrospective Cohort ◽  
Flail Chest ◽  
Shoulder Girdle ◽  
Hospital Length ◽  
Injury Pattern ◽  
Hospital Length Of Stay ◽  
Trauma Centers ◽  
Floating Shoulder ◽  
Level I

Background/purpose: The combination of ipsilateral floating shoulder and flail chest is a unique injury pattern that has not been previously described in the literature. We termed the injury pattern floating flail chest (FFC). The purpose of this study was to evaluate the effect of operative treatment of the shoulder girdle component to overall hospital length of stay (LOS). Methods: Forty-one patients were enrolled between two level I trauma centers identifying with a combination ipsilateral floating shoulder and flail chest injury, 23 treated with operative stabilization and 18 treated non-operatively. This retrospective cohort study evaluated the overall LOS and intensive care unit (ICU) days. Results: The operative group had decreased overall LOS (10.1 vs. 19.8 days, p = 0.02) and decreased ICU days (3.4 vs. 10.3, p = 0.04). Conclusion: This study describes a unique injury pattern that combines the floating shoulder and flail chest, FFC. Our study suggests that operative treatment of the shoulder girdle may decrease both overall LOS and ICU days in patients with FFC.

scholarly journals Recurrent acromioclavicular joint dislocation with an associated coracoid fracture following acromioclavicular joint reconstruction

2020 ◽  
Vol 102 (6) ◽  
pp. e136-e140
Author(s):  
M Karia ◽  
N Al-Hadithy ◽  
G Tytherleigh-Strong
Keyword(s):  
Acromioclavicular Joint ◽  
High Strength ◽  
Shoulder Girdle ◽  
Coracoid Process ◽  
Acromioclavicular Joint Dislocation ◽  
Shoulder Injuries ◽  
Overhead Athletes ◽  
Joint Dislocations ◽  
Synthetic Ligament ◽  
Acromioclavicular Joint Instability

Acromioclavicular joint injuries are common and account for up to 12% of all shoulder girdle injuries and have been reported as being as high as 50% in sports-related shoulder injuries. While the majority of acromioclavicular joint dislocations can be treated non-operatively, there are certain injury configurations, which can include high-grade dislocations in overhead athletes, where surgery may be indicated. The surgical management of acromioclavicular joint instability has moved towards recreating the action of the coracoclavicular ligaments by resuspending the clavicle on to the coracoid. Multiple techniques using high-strength sutures, synthetic ligaments, tendon allografts or autografts passed either around or through the coracoid process have been described. However, an unusual, but significant, complication associated with these techniques is an iatrogenic fracture of the coracoid process. We report the case of a patient with an iatrogenic coracoid fracture following two failed acromioclavicular joint resuspensory reconstructions using a synthetic ligament. This injury was successfully treated with an autologous hamstring graft reconstruction, initially protected with a hook plate.

Clinical outcomes following conservative and surgical management of floating shoulder injuries: a systematic review

2020 ◽  
Vol 29 (3) ◽  
pp. 634-642 ◽  
Author(s):  
Alex R. Dombrowsky ◽  
Sellers Boudreau ◽  
Jon Quade ◽  
Eugene W. Brabston ◽  
Brent A. Ponce ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Outcomes ◽  
Surgical Management ◽  
Shoulder Injuries ◽  
Floating Shoulder

scholarly journals The Association of a Floating Elbow and a Homolateral Dislocated Floating Shoulder (About a Case)

2021 ◽  
Vol 3 (1) ◽  
pp. 27-29
Author(s):  
El Hacen Sidi ◽  
Zakaria Rkiba ◽  
Charafeddine El Kassimi ◽  
Mohamed Rafai ◽  
Abdelhak Garch
Keyword(s):  
Shoulder Injuries ◽  
Floating Shoulder ◽  
Rare Lesion ◽  
Shoulder Complex ◽  
Therapeutic Attitude ◽  
Both Bones ◽  
Floating Elbow

The floating elbow is a rare lesion, characterized by the presence of a fracture of the humerus and one or both bones of the homolateral forearm. Double disturbances of the upper suspensory shoulder complex, commonly referred to as “floating shoulder” injuries, are ipsilateral fractures of the clavicle and scapula with loss of bone attachment of the glenoid.  The combination of a floating elbow and floating shoulder is extremely rare, added an ipsilateral dislocation of the glenohumeral remains exceptional. No case has been reported in the literature of such a lesional association. This observation makes it possible to describe an extremely rare lesion, by proposing the therapeutic attitude and the prognosis.

scholarly journals PELATIHAN SHOULDER GIRDLE DYNAMIC STABILIZATION LEBIH BAIK DARIPADA PELATIHAN PRONE SCAPULAR STABILIZATION DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL BAHU PASCA CEDERA SWIMMER SHOULDER PADA ATLET RENANG GAYA BEBAS DI KALIMANTAN BARAT

2019 ◽  
Author(s):  
Myranti Puspitaningtsya Junaedi ◽  
I Putu Gede Adiatmika ◽  
S. Indra Lesmana ◽  
Ketut Tirtayasa ◽  
I Wayan Weta ◽  
...  
Keyword(s):  
Treatment Group ◽  
Functional Ability ◽  
Shoulder Girdle ◽  
Dynamic Stabilization ◽  
Control Group ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Significant Difference ◽  
Post Test ◽  
And Control

ABSTRACTBackground: High duration of training performed by swimmers with dominant freestyle stroke, resulted in significant number of shoulder rotation movement. The presence of continous movement that occurs in the shoulder of swimmers can cause the risk of shoulder injury, known as swimmer’s shoulder. The presence of shoulder injuries among swimmers resulting a decrease in functional ability on the shoulder of swimmers. The training of shoulder girdle dynamic stabilization and prone scapular stabilization is a training that can be used to improve the functional ability among swimmers shoulders. Method: This study used randomized pre test and post test control group design. This study performed on 20 swimmers that diagnosed of swimmer shoulder injury which divided into 2 groups. Treatment Group was given shoulder girdle dynamic stabilization and Control Group was given prone scapular stabilization training. Shoulder functional ability was measured using SPADI and analized on each group. Result: This research showed that every functional training that was given to each sample groups giving an effect to improving shoulder functional ability post swimmer’s shoulder injury among swimmers. There are significant alteration in Treatment Group and Control Group from pre to post test, both was obtained (p< 0.001). There is significant difference from post test between Treatment Group and Control Group, came with (p=0.001). Conclusion: Shoulder girdle dynamic stabilization better than prone scapular stabilization training in improving the functional ability of the shoulder post swimmer shoulder injury among freestyle stroke swimmer athlete in West Kalimantan. Keywords: swimmer’s shoulder injury, shoulder girdle dynamic stabilization, prone scapular stabilization, SPADI

Isolated Infraspinatus Atrophy Secondary to Suprascapular Nerve Neuropathy Results in Altered Shoulder Muscles Activity

2019 ◽  
Vol 28 (3) ◽  
pp. 219-228 ◽  
Author(s):  
Samuele Contemori ◽  
Andrea Biscarini
Keyword(s):  
Shoulder Girdle ◽  
Suprascapular Nerve ◽  
Shoulder Abduction ◽  
Shoulder Injuries ◽  
Response Latencies ◽  
Upper Trapezius ◽  
Volleyball Players ◽  
Shoulder Girdle Muscles ◽  
Semg Activity ◽  
Infraspinatus Atrophy

Context: Isolated infraspinatus atrophy (IIA) is a common condition among overhead activity athletes, which affects the hitting shoulder and is caused by suprascapular nerve injury. The loss of infraspinatus function could lead to altered activity of the glenohumeral and scapulothoracic (ST) muscles and compromise the optimal shoulder function. Objective: To assess the surface electromyographic (sEMG) activity patterns, relationships, and response latencies of relevant shoulder girdle muscles in professional volleyball players with IIA and in healthy control players. Design: Cross-sectional study. Setting: Research laboratory. Patients or Other Participants: Twenty-four male professional volleyball players (12 players with diagnosed IIA and 12 healthy players) recruited from local volleyball teams. Intervention(s): sEMG activity of anterior, middle, and posterior deltoid; upper, middle, and lower trapezius; and serratus anterior (SA) was recorded and evaluated during a movement of shoulder abduction in the scapular plane, monitored with an optoelectronic motion capture system. Main Outcome Measure(s): sEMG activity, relationships, and response latencies of the selected muscles were analyzed with analysis of variance models to highlight statistical differences within and between groups. Results: Athletes with IIA demonstrated significant higher deltoid and trapezius muscles activity and lower SA activity compared with the contralateral shoulder and healthy athletes. The shoulder with IIA also showed a higher activity ratio between the upper trapezius and other ST muscles in addition to anticipated activation of the upper trapezius and delayed activation of the SA, with regard to the onset of shoulder movement. Conclusions: This study highlighted altered shoulder muscle activity levels, ST muscles imbalances, and abnormal ST recruitment patterns in the hitting shoulder of professional volleyball players with IIA, secondary to suprascapular nerve neuropathy. Such shoulder girdle muscles’ impairments may compromise the optimal scapulohumeral rhythm and function, increasing the risk of acute and overuse shoulder injuries.

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