Floating shoulder

[Ronald Gross]

Rajesh,

Why do you need to plate the clavicle in this instance, and not address it in an isolated humerus or isolated scapula?  I get the fact that the shoulder is, in this case, truly floating, but how much integrity/strength does repairing the clavicle have in this case?

Ron

>>> "Rajesh" <rajesh84 at asianetindia.com> 12/6/2007 9:42 PM >>>
I would nail the humerus, plate and bone graft the clavicle (primary bone grafting is advisable in trauma as severe as this) and then turn her over,do an L shaped approach to the scapula with elevation of the infraspiantus from the medial border and back of scapula upto the glenoid (taking care not to strech the neurovascular bundle at the pedicle).I would then use some recon plates to fix the scapula together.

what is the status of the brachial plexus?

good luck

Mr.K.R.Rajesh, MS,DNB, FRCS, FRCS(Tr & Orth) .
Consultant Orthopaedic Surgeon
Division of Upper Limb surgery, Arthroscopy and Joint Replacement
Cosmopolitan Hospital
Trivandrum
Kerala
India.

Mobile- +919447191205

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]On Behalf Of Wojciech Ambrozy
Sent: 07 December 2007 00:44
To: Trauma &amp; Critical Care mailing list
Subject: Floating shoulder


19 yo female , RTA
Fractured clavicle , shaft of humerus , neck of scapula , ribs 2,3,4 
left side
RHD

what are Yours suggestions regarding managment ?

Regards


Ambrozy


--------------------------------------------
My mailbox is spam-free with ChoiceMail, the leader in personal and corporate anti-spam solutions. Download your free copy of ChoiceMail from www.digiportal.com 

--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/