Download presentation
Presentation is loading. Please wait.
Published byMagdalen Cunningham Modified over 8 years ago
1
FRACTURES AROUND SHOULDER
2
Fractures around Shoulder Fractures of Clavicle Fractures of Scapula Fractures of proximal Humerus
3
Fractures of Clavicle
4
Surgical Anatomy
5
FRACTURES OF THE CLAVICLE FUNCTIONS OF THE CLAVICLE – Power and Stability of the arm – Motion of the shoulder girdle – Muscle Attachments – Protection of the Neurovscular Structures – Respiratory Function – Cosmesis
6
FRACTURES OF THE CLAVICLE INCIDENCE OF INJURY: 4% MECHANISM OF INJURY: - Direct - Indirect CLASSIFICATION OF CLAVICLE FRACTURES: – Fractures of the Middle third of the clavicle - 76% – Fractures of the Lateral third of the clavicle- 21% – Fractures of the medial third of the clavicle – 3% CLINICAL PRESENTATION : Pain, swelling, deformity, loss of function
7
FRACTURES OF THE CLAVICLE ASSOCIATED INJURIES – Associated Skeletal Injuries – Fractures of the clavicle and Scapula – (The Floating shoulder ) – Injuries to the Lungs and Pleura – Brachial plexus Injuries – Vascular Injuries RADIOGRAPHIC FINDINGS – Shaft Fractures – Fractures of the lateral third – Fractures of the Medial third
8
FRACTURES OF THE CLAVICLE TREATMENT – Conservative: Broad arm sling for 3-4 weeks – Operative
9
FRACTURES OF THE CLAVICLE INDICATIONS OF OPERATIVE TREATMENT Open fractures Fractures with neurovascular compromise Polytrauma Floating shoulder (combined clavicle & scapula fractures) Symptomatic non-unions Cosmesis
10
OPEN REDUCTION
11
FRACTURES OF THE CLAVICLE COMPLICATIONS – Nonunion – Mal-union – Neurovascular compromise
12
FRACTURES OF SCAPULA
13
Fractures of Scapula Surgical Anatomy
14
Incidence: 1% Mechanism of Injury: Direct/Indirect RTA, Fall from height Associated Injuries: Clavicle fractures 15 - 40% Rib fractures 25 - 50% Pulmonary injuries 15 - 55% Humeral fractures 12% Brachial Plexus 5-10% Skull fractures 25% Lower Limb fractures 11% Major Vascular injury 11% Splenic lacerations 8% Fractures of Scapula
15
Classification: Fractures of body of scapula Fractures of neck of scapula Fractures of glenoid cavity Fractures of coracoid process Fractures of acromion process
16
Fractures of Scapula Clinical Features: Pain, swelling, deformity, loss of function Diagnosis: Plain X-rays, CT scan Treatment: 90% treated conservatively- Broad arm sling for 4-6 weeks
17
Fractures of Scapula Indications for Operative treatment: unstable fractures combined injuries
18
FRACTURES OF THE PROXIMAL HUMEURS
19
Fracture of the proximal Humeurs Anatomy
20
Fracture of the proximal Humeurs
21
MECHANISM Of INJURY Direct injury Indirect injury CLASSIFICATION OF FRACTURES OF THE PROXIMAL HUMEURS Non displaced Displaced Neer four-part classification AO Classification
23
INVESTIGATIONS X-rays (AP and Lateral views) CT Scan
24
Treatment NON-OPERATIVE Cuff and collar sling OPERATIVE ORIF with wires Sutures Plates Screws Replacement of humeral head with Prosthesis
25
OPERATIVE TREATMENT
26
REHABILITATION Range of motion exercisesRange of motion exercises Muscles strengthing exercisesMuscles strengthing exercises
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.