Management of Acute Shoulder Girdle Fracture Dislocation in High Energy Injuries - An Experience from a Major Trauma Centre

Description

In this presentation, Harvinder Singh discusses complex shoulder injuries, primarily focusing on his case studies and surgical approaches. He highlights the challenges posed by specific cases, such as fractures from falls and dislocations, emphasizing the importance of assessing the glenoid and rotator cuff when approaching these injuries. The talk is structured around several patient cases, including a 64-year-old lady and a 44-year-old man, detailing their injuries and the surgeries performed. Singh notes that he frequently encounters high-energy trauma cases and stresses the need for thorough documentation and early mobilization of patients. He underlines the value of 3D CT scans for visualizing injuries, particularly bony defects in the glenoid. Singh shares his treatment strategies, including the use of percutaneous screws, avoiding plate fixations where possible, and considering hemiarthroplasty for younger patients with specific injuries. He concludes with key principles for treatment, particularly the importance of reducing fractures concentrically and considering the biomechanics of the shoulder in the healing process.

DOI: 10.1302/3114-240718

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