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Acute Fractures in Sport: Shoulder

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Fractures in Sport

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Abstract

The treatment of shoulder girdle injuries in the athlete is complex, with each patient requiring a bespoke management regime specific to their sporting endeavour. This chapter covers a number of different injuries that are all relevant to the sports surgeon. To allow the extreme range of movement exhibited in the shoulder girdle, five articulations must function in a synchronous manner: the sternoclavicular joint, the acromioclavicular joint, the glenohumeral joint, the scapulothoracic joint and the subacromial region. Treatment of an injury to a specific area of the shoulder must therefore be accompanied by therapy to ensure normal function of the entire shoulder girdle. Below we outline our treatments for common injuries to this region, to offer the reader a base of understanding, regarding the pathologies and treatments of sporting injuries of the shoulder.

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Author information

Authors and Affiliations

  1. Edinburgh Orthopaedics, The Royal Infirmary of Edinburgh, Edinburgh, UK

    Iain D. M. Brown, Samuel P. Mackenzie & William M. Oliver

  2. Trauma and Orthopaedic Surgery, University of Edinburgh, Edinburgh, UK

    Jamie A. Nicholson

  3. Edinburgh Orthopaedic Trauma Unit, Edinburgh, UK

    Oisin J. F. Keenan

Authors
  1. Iain D. M. Brown
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  2. Samuel P. Mackenzie
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  3. William M. Oliver
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  4. Jamie A. Nicholson
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  5. Oisin J. F. Keenan
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Editor information

Editors and Affiliations

  1. Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Edinburgh, UK

    Greg A. J. Robertson

  2. Centre for Sports and Exercise Medicine, Queen Mary University of London, London, UK

    Nicola Maffulli

Review

Review

1.1 Questions

  1. 1.

    What is the rate of nonunion of a midshaft clavicle fracture following non-operative management?

  2. 2.

    Which grade of ACJ disruption displaces inferiorly (and is rarely seen)?

  3. 3.

    What is the rate of recurrence following a primary glenohumeral dislocation in young adult males?

  4. 4.

    What are the absolute indications for primary operative management of a displaced, traumatic humeral shaft fracture?

1.2 Answers

  1. 1.

    16%

  2. 2.

    Grade VI

  3. 3.

    66%

  4. 4.

    Significant/progressive neurovascular injury; intra-articular extension; polytrauma; loss of closed reduction

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Brown, I.D.M., Mackenzie, S.P., Oliver, W.M., Nicholson, J.A., Keenan, O.J.F. (2021). Acute Fractures in Sport: Shoulder. In: Robertson, G.A.J., Maffulli, N. (eds) Fractures in Sport. Springer, Cham. https://doi.org/10.1007/978-3-030-72036-0_9

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