Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background & Objective: Little research was available to explore which surgical fixation was better between fixation of both clavicle and scapula and clavicle alone in management of floating shoulder injury.
Methods: Total 69 patients with floating shoulder injury receiving surgery from February 2005 to July 2020 participated in the study. 49 patients underwent fixation of the clavicle alone (Group C) while 20 patients underwent fixation of both clavicle and scapula (Group C + S). They were further divided into subgroups according to age: Group C1, Group C + S1 (age ≤ 55 years old) and Group C2, Group C + S2 (age>55 years old). The radiological parameter (glenopolar angle (GPA)) and clinical outcomes (Herscovici score, Constant-Murley shoulder outcome score (CSS score), and Visual Analogue Scale score (VAS score)) were collected and compared between these groups. The correlation between age and radiological parameter and clinical outcomes was calculated by the Spearman correlation analysis.
Results: All people were followed up for at least 1 year. The degree of change in GPA before and after surgery in Group C + S is significantly better than that in Group C. The Herscovici and CSS score in Group C + S2 were significantly higher than those in Group C2 at 1 month, 3 months and 1 year after surgery. However, no significant difference in Herscovici and CSS score was found at final follow-up (1 year after surgery) between Group C + S1 and Group C1. The VAS score in Group C + S2 at final follow-up was significantly lower than that in Group C2. No significant difference in VAS score at final follow-up was found between Group C + S1 and Group C1. In addition, the VAS score was negatively correlated with Herscovici and CSS score. No correlation was found between VAS score and GPA.
Conclusions: Both types of surgical fixation are effective in management of floating shoulder injury. For young people with floating shoulder injury, both types of surgical fixation are equally effective. However, for older people with floating shoulder injury, fixation of both clavicle and scapula is better in prognosis than fixation of clavicle alone.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10367396 | PMC |
| http://dx.doi.org/10.1186/s12891-023-06583-8 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Functional Outcomes of Displaced Midshaft Clavicular Fractures Treated with Precontoured Locked Plates: A Prospective Study.
F1000Res
September 2025
Department of Surgery, Sana'a University, Sana'a, Yemen.
Background: This study assessed the functional outcomes and complications of open reduction and internal fixation (ORIF) using precontoured superior clavicle locking plates for displaced midshaft clavicular fractures.
Methods: In a prospective two-center study at Al-Thawra Modern General Hospital and Kuwait University Hospital, Sana'a, Yemen, from January 2018 to September 2024, 65 patients (≥18 years) with closed, displaced midshaft clavicular fractures (displacement >2 cm, shortening >2 cm, comminution, or skin tenting) underwent ORIF. Functional outcomes were evaluated six months postoperatively using the University of California, Los Angeles (UCLA) shoulder rating score.
Clinical and Radiological Assessment of Modified Weaver-Dunn Technology, Arthroscopic Single Tunnel Technique and Arthroscopic Coracoid Sling Technique Three Different Surgical Techniques in the Treatment of Acute Rockwood III-V Acromioclavicular Dislocations.
J Multidiscip Healthc
August 2025
Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, People's Republic of China.
Objective: The purpose of this study was to evaluate and compare the clinical efficacy and radiological results of three surgical methods for treating Rockwood III-V acromioclavicular dislocation.
Methods: A retrospective analysis was conducted on 62 patients with acute Rockwood III-V acromioclavicular dislocation who were admitted to our hospital from September 2017 to December 2022. Among these patients, 19 received the modified Weaver-Dunn technique (Group A), 20 underwent the arthroscopic single tunnel technique (Group B), and 23 received the arthroscopic coracoid sling technique (Group C).
Operative Treatment of Adolescent Diaphyseal Clavicle Fracture: Elastic Stable Intramedullary Nail Versus Plate Fixation.
Medicina (Kaunas)
August 2025
Department of Orthopaedic Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, 88, Olympic-ro, 43-gil, Songpa-gu, Seoul 05505, Republic of Korea.
: Adolescent diaphyseal clavicle fracture surgery has increased in recent years. However, the optimal operative method remains debated, particularly between elastic stable intramedullary nailing (ESIN) and plate fixation. This study compared postoperative outcomes and complication rates between ESIN and plate fixation for treating diaphyseal clavicle fractures in adolescent patients.
View Article and Find Full Text PDFDoes the addition of demineralized bone matrix to fixation of acute comminuted clavicle fractures affect healing outcomes?
Eur J Orthop Surg Traumatol
August 2025
Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, 301 E 17th Street, New York, NY, 10003, USA.
Purpose: To assess the healing outcomes of patients who sustained a comminuted clavicle fracture and underwent operative fixation with or without the addition of demineralized bone matrix (DBM).
Methods: A total of 271 comminuted midshaft clavicle fractures that presented to our hospital system and underwent operative fixation with a plate and screw construct were retrospectively reviewed. Data collected include patient demographics, initial injury information, and use of demineralized bone matrix during surgery to enhance bone healing.
Skin Tenting Due to Displaced Mid-shaft Clavicle Fracture in an Adolescent.
Cureus
July 2025
Sports Medicine, University of Colorado, Denver, USA.
Sport-related clavicle fractures are a relatively common injury in the pediatric population. However, neurovascular complications at initial presentation are rare in adolescents. We report the case of a 14-year-old female skier who presented with a left shoulder injury and visible skin tenting.
View Article and Find Full Text PDF