Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Shoulder
Abstract number: 23736
FLOATING SHOULDER - OUR PRIMARY RESULTS IN OPERATIVE TREATMENT
Asen BALTOV, Nedelcho TZACHEV, Borislav ZLATEV, Vladislav RUSSIMOV,
Andrey IOTOV
Military Medical Academy, Sofia (BULGARIA)
Aims: Our primary results of the operative treatment of the floating shoulder. Material
and method: For a period of two years 8 patients an average age of 38 (21 60). All of
them had polytrauma combined with chest trauma ? 6 after road accidents and 2
after height trauma. Index ISS mean 25 /16 40/.In one case we had lesion of
a.axillaris and two plexus injuries. According to the classification of Euler Rëudi the
scapula fractures were: A type 2; C 3 type 5; E type-1. The clavicle stabilization was
done with LCP with combined holes and ostheosynthesis of the scapula fracture in
two of the cases. Follow up period 3-12 months. Final functional result was
accounted according to Constant Murley score. Results: We did not have any case of
iatrogenic vessel neurological injury or pneumothorax. We had union of all scalupar
fractures. We had non-union of one case of clavicle fracture which led to
reostheosynthesis after a year. The plexus damage in one of the patients was
recovered. We accounted excellent final functional result in 3 cases, good in two,
satisfactory and bad in 3 patients with plexus injury.Conclusion: The floating shoulder
is a rare pathology, demanding good diagnosis and adequate behavior - obligatory
stabilization of the clavicle. In well expressed modifications of the gleno-polar angle,
medial translocation of the glenoid and the inclination angle of the fossa glenoidalis
scapula stabilization is needed. This enables early passive and active rehabilitation
and recovery the shoulder motion.
580