Floating Shoulder

Sri Pramesthi Wisnu Bowo Negoro

20174011069
Bagian Bedah Orthopedi
 Definition
ipsilateral fractures of the midshaft of the
clavicle and the neck of the glenoid.
Ganz and Noesberger, 1975

Superior shoulder suspensory complex

Goss, 1993
The floating shoulder is one such double disruption
When the complex is disrupted in two places (a double disruption), the integrity of
the superior shoulder suspensory complex is breached and a potentially unstable
anatomical situation is created.
• Depending on the structure
injured in SSSC that could lead
to instability it is subdivided
into:
1. Clavicular – acromio clavicular
Joint – Acromion strut
2. Clavicular – Coraco clavicular
ligament – coracoid C4 linkage
3. The three processes scapular
body junction
What Happens to distal fragment?
• Problems with healing, such as:
• delayed union, malunion, and nonunion
• as well as adverse long-term functional difficulties, such as subacromial
impingement
• weakness and discomfort due to muscle fatigue
• neurovascular compromise from a drooping shoulder
• and degenerative joint disease, depending on the nature of the particular
injury

• Commonly Malunion
Result to Malunion
Mechanism of Injury
• Road Traffic Injuries
• High Energy injuries
• Polytrauma associated with chest injuries pneumo/haemo thorax, rib
fractures
Diagnose
• Use Radiographs (Rontgen)
• Anteroposterior view
• Lateral View
• Axillary view or trauma axillary view
SOURCE
• Williams GR Jr, Naranja J, Klimkiewicz J, et al., The floating shoulder:
a biomechanical basis for classification and management., J Bone
Joint Surg [Am]. 2001;83-A:1182-7.
• B.D Owens and Goss, The Floating Shoulder, The Journal of Bone &
Joint Surgery, 2016
• Goss TP. Scapular fractures and dislocation: diagnosis and treatment.
J Am Acad Orthop Surg 1995;3:22-33
• Dr.S.Jaganmohan, Powerpoint M.S,d.N.B Ortho, Dept. Of
Orthopaedics Gsl Medical College And Hospital, 2015