![]() ![]() These injuries are immobilized for comfort and once comfort is obtained a rehabilitation program is begun. Treatment NonoperativeĪs discussed in the image above, most shoulder fractures which are non-displaced or minimally displaced do not require surgery. The image is from a CT scan (computerized tomogram) which has been formatted as a 3-D Image. ![]() MRI is utilized if suspicion of additional soft tissue is warranted.Ī routine frontal view of a comminuted (many pieces) fracture of the right shoulder in the middle segment (mid-shaft). CT examination is most often used as it gives better delineation of bone than MRI. Injuries with this much displacement often require surgical treatmentĪdvanced imaging can add additional information in understanding the pattern of a fracture. X-ray of a left clavicle viewed from the front demonstrating a midshaft clavicle fracture that is markedly displaced (blue arrow). Often x-rays may be the only study required for evaluating shoulder fractures. Although x-rays do not image the soft tissue of the rotator cuff, they can add information regarding the presence of arthritis, fracture or dislocation. X-rays of the shoulder are typically utilized for evaluation. Patients with shoulder fractures may have neurological dysfunction arising from nerve bruising at the time of injury Imaging Studies The location of the deformity is determined and a neurologic and vascular exam of the extremity completed. The strength of the shoulder in resisting motions is tested. The range of motion of the shoulder is measured in multiple planes. Surgeon ExaminationĪfter reviewing the patient’s symptoms, a review of their pertinent medical history and family history is obtained. The weight of gravity on the arm causes increased discomfort. Patients with fractures of the shoulder complain of pain, bruising, and often deformity. The muscles underlying the deltoid-the rotator cuff viewed from the back and front Diagnosis Symptoms The inside layer of muscles gives the shoulder stability and motion above shoulder height and is called the rotator cuff-a series of 4 muscles This is because the ball of the humerus is large and the socket is small on the scapular side-think of the small amount of stability a golf ball has on a tee. However, the articulation between the humerus and scapula has little bony stability. ![]() The motion between the shoulder blade and scapula is a stable gliding surface over bursal structures and not prone to dislocation. Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle).Ī right shoulder viewed from the front showing the clavicle, humerus and scapula. The scapula articulates with the humerus and accounts for approximately 70% of shoulder motion (the remaining motion occurs between the scapula and the thorax). The clavicle functions as a strut connected to the shoulder bone (scapula). The shoulder serves as a connection between the chest and arm. Fortunately, most fractures of the clavicle respond to treatment without surgery. The second most common area injured in the shoulder is the proximal portion of the humerus. ![]() Fractures may occur at any of the bones which constitute the shoulder, but the clavicle (collarbone) is the most commonly injured. Shoulder Fractures are among the most common breaks of the human skeleton. A Patient’s Guide to Clavicle Fractures (Fractures of the Collarbone) with Animated Surgical ![]()
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