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Shoulder Fractures

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A Case-Based Approach to Shoulder Pain

Abstract

Fractures of the shoulder girdle are very common. Fracture types vary in epidemiology, mechanism of injury, diagnosis, and treatment based upon their location and severity. These fractures can be categorized into clavicle fractures, scapula fractures, and proximal humerus fractures.

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References

  1. Kihlström C, Möller M, Lönn K, Wolf O. Clavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish fracture register; an observational study. BMC Musculoskelet Disord. 2017;18(1):82. Published 2017 Feb 15. https://doi.org/10.1186/s12891-017-1444-1.

    Article  Google Scholar 

  2. Postacchini F, Gumina S, De Santis P, Albo F. Epidemiology of clavicle fractures. J Shoulder Elb Surg. 2002;11(5):452–6. https://doi.org/10.1067/mse.2002.126613.

    Article  Google Scholar 

  3. DeLee J, Drez D, Miller MD, Thompson SR. DeLee, Drez, & Miller's orthopaedic sports medicine: principles and practice. 5th ed. Philadelphia, PA: Elsevier; 2020.

    Google Scholar 

  4. Rockwood CA, Green DP, Bucholz RW, editors. Rockwood and Green’s fractures in adults. 7th ed. Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010.

    Google Scholar 

  5. Court-Brown CM, Wood AM, Aitken S. The epidemiology of acute sports-related fractures in adults. Injury. 2008;39:1365–72.

    Article  Google Scholar 

  6. Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta Orthop Scand. 2001;72(4):365–71. https://doi.org/10.1080/000164701753542023.

    Article  CAS  Google Scholar 

  7. van der Meijden OA, Gaskill TR, Millett PJ. Treatment of clavicle fractures: current concepts review. J Shoulder Elb Surg. 2012;21(3):423–9. https://doi.org/10.1016/j.jse.2011.08.053. Epub 2011 Nov 6

    Article  Google Scholar 

  8. Kim DW, Kim DH, Kim BS, Cho CH. Current concepts for classification and treatment of distal clavicle fractures. Clin Orthop Surg. 2020;12(2):135–44. https://doi.org/10.4055/cios20010.

    Article  Google Scholar 

  9. Robertson GA, Wood AM. Return to sport following clavicle fractures: a systematic review. Br Med Bull. 2016;119(1):111–28.

    Article  CAS  Google Scholar 

  10. Miranda-Comas G, Cooper G, Herrera J, Curtis S, editors. Essential sports medicine: a clinical guide for students and residents. 2nd ed. Springer; 2021.

    Google Scholar 

  11. Wiesel B, et al. Management of Midshaft clavicle fractures in adults. J Am Acad Orthop Surg. 2018;26:e468–76. https://doi.org/10.5435/JAAOS-D-17-00442.

    Article  Google Scholar 

  12. Guerra E, Previtali D, Tamorini S, Filardo G, Zaffagnini S, Candrian C. Midshaft clavicle fractures: surgery provides better results as compared with nonoperative treatment: a meta-analysis. Am J Sports Med. 2019;47(14):3541–51.

    Article  Google Scholar 

  13. Bishop JY, Jones GL, Lewis B, et al. Intra- and interob- server agreement in the classification and treatment of distal third clavicle fractures. Am J Sports Med. 2015;43:979–84.

    Article  Google Scholar 

  14. Ranalletta M, Rossi LA, Piuzzi NS, Bertona A, Bongiovanni SL, Maignon G. Return to sports after plate fixation of displaced midshaft clavicular fractures in athletes. Am J Sports Med. 2015;43(3):565–9. https://doi.org/10.1177/0363546514559913. Epub 2014 Dec 9

    Article  Google Scholar 

  15. Cole PA, Freeman G, Dubin JR. Scapula fractures. Curr Rev Musculoskelet Med. 2013;6(1):79–87. https://doi.org/10.1007/s12178-012-9151-x.

    Article  Google Scholar 

  16. Voleti PB, Namdari S, Mehta S. Fractures of the scapula. Adv Orthop. 2012;2012:903850. https://doi.org/10.1155/2012/903850.

    Article  Google Scholar 

  17. Baldwin KD, Ohman-Strickland P, Mehta S, Hume E. Scapula fractures: a marker for concomitant injury? A retrospective review of data in the National Trauma Database. J Trauma. 2008;65(2):430–5.

    Google Scholar 

  18. Zlowodzki M, Bhandari M, Zelle BA, Kregor PJ, Cole PA. Treatment of scapula fractures: systematic review of 520 fractures in 22 case series. J Orthop Trauma. 2006;20(3):230–3.

    Article  Google Scholar 

  19. Goss TP. Scapular fractures and dislocations: diagnosis and treatment. J Am Acad Orthop Surg. 1995;3(1):22–33.

    Article  CAS  Google Scholar 

  20. Nordqvist A, Petersson C. Fracture of the body, neck, or spine of the scapula. A long-term follow-up study. Clin Orthop Relat Res. 1992;283:139–44.

    Article  Google Scholar 

  21. Ada JR, Miller ME. Scapular fractures. Analysis of 113 cases. Clin Orthop Relat Res. 1991;269:174–80.

    Article  Google Scholar 

  22. Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37(8):691–7. https://doi.org/10.1016/j.injury.2006.04.130. Epub 2006 Jun 30

    Article  Google Scholar 

  23. Carofino BC, Leopold SS. Classifications in brief: the Neer classification for proximal humerus fractures. Clin Orthop Relat Res. 2013;471(1):39–43. https://doi.org/10.1007/s11999-012-2454-9.

    Article  Google Scholar 

  24. Fjalestad T, Hole MØ, Blücher J, Hovden IA, Stiris MG, Strømsøe K. Rotator cuff tears in proximal humeral fractures: an MRI cohort study in 76 patients. Arch Orthop Trauma Surg. 2010;130(5):575–81. https://doi.org/10.1007/s00402-009-0953-2. Epub 2009 Aug 14

    Article  Google Scholar 

  25. Schumaier A, Grawe B. Proximal humerus fractures: evaluation and management in the elderly patient. Geriatr Orthop Surg Rehabil. 2018;9:2151458517750516. Published 2018 Jan 25. https://doi.org/10.1177/2151458517750516.

    Article  Google Scholar 

  26. Clement ND, Duckworth AD, McQueen MM, Court-Brown CM. The outcome of proximal humeral fractures in the elderly: predictors of mortality and function. Bone Joint J. 2014;96-B(7):970–7. https://doi.org/10.1302/0301-620X.96B7.32894.

    Article  CAS  Google Scholar 

  27. Bergdahl C, Ekholm C, Wennergren D, Nilsson F, Möller M. Epidemiology and patho-anatomical pattern of 2,011 humeral fractures: data from the Swedish fracture register. BMC Musculoskelet Disord. 2016;17:159. Published 2016 Apr 12. https://doi.org/10.1186/s12891-016-1009-8.

    Article  Google Scholar 

  28. Jo MJ, Gardner MJ. Proximal humerus fractures. Curr Rev Musculoskelet Med. 2012;5(3):192–8. https://doi.org/10.1007/s12178-012-9130-2.

    Article  Google Scholar 

  29. Tamimi I, Montesa G, Collado F, González D, Carnero P, Rojas F, Nagib M, Pérez V, Álvarez M, Tamimi F. Displaced proximal humeral fractures: when is surgery necessary? Injury. 2015;46(10):1921–9. https://doi.org/10.1016/j.injury.2015.05.049. Epub 2015 Jun 14

    Article  Google Scholar 

  30. Bell JE, Leung BC, Spratt KF, Koval KJ, Weinstein JD, Goodman DC, Tosteson AN. Trends and variation in incidence, surgical treatment, and repeat surgery of proximal humeral fractures in the elderly. J Bone Joint Surg Am. 2011;93(2):121–31. https://doi.org/10.2106/JBJS.I.01505. PMID: 21248210; PMCID: PMC3016042.

    Article  Google Scholar 

  31. Handoll HH, Keding A, Corbacho B, Brealey SD, Hewitt C, Rangan A. Five-year follow-up results of the PROFHER trial comparing operative and non-operative treatment of adults with a displaced fracture of the proximal humerus. Bone Joint J. 2017;99-B(3):383–92. https://doi.org/10.1302/0301-620X.99B3.BJJ-2016-1028. PMID: 28249980; PMCID: PMC5404240.

    Article  CAS  Google Scholar 

  32. Ahrens P, Martetschläger F, Siebenlist S, et al. Return to sports after plate fixation of humeral head fractures 65 cases with minimum 24-month follow-up. BMC Musculoskelet Disord. 2017;18(1):173. Published 2017 Apr 26. https://doi.org/10.1186/s12891-017-1532-2.

    Article  Google Scholar 

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Freedman, R., Harounian, J. (2023). Shoulder Fractures. In: Harounian, J., Cooper, G., Herrera, J.E., Curtis, S. (eds) A Case-Based Approach to Shoulder Pain. Springer, Cham. https://doi.org/10.1007/978-3-031-17305-9_8

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  • DOI: https://doi.org/10.1007/978-3-031-17305-9_8

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