Trauma to the shoulder is common with injuries resulting from falls, high speed car accidents or sports. Most shoulder fractures involve the clavicle (collar bone) or proximal humerus (top of the upper arm bone) and less commonly, the scapula (shoulder blade), which is more difficult to break and often associated with chest injuries. Show
BOOK AN APPOINTMENT Symptoms of Shoulder FracturesWhile many fractures are a result of high force impact or stress, bone fractures can also be caused by medical conditions such as osteoporosis. Broken bones and minor injuries can often be successfully treated without orthopaedic surgery, however injuries with significant deformity or associated skeletal instability are better treated with surgery to ensure the bones heal in the correct position and reduce the risk of future complications. In nearly 80 percent of shoulder fractures, the broken bones remain near their anatomic position (non displaced), therefore immobilisation in a sling or shoulder immobiliser is the best treatment, and heal within about six weeks. The other 20 percent of shoulder fractures are displaced and may require some type of manipulation or surgery to restore the bone to the correct anatomical position. Often the rotator cuff muscles are injured or torn at the same time as the fracture, which can further complicate treatment. Proximal Humerus Fracture
Clavicle Fracture
Scapula Fracture
Common Shoulder Reconstruction Procedures & TreatmentsNon-surgical treatment for fractured shouldersImmobilisation: While your shoulder has been immobilised, it is important to maintain flexibility of your elbow, wrist and fingers. Dr McLean will advise when you should commence shoulder exercises. Surgical options for broken shouldersSurgical treatment methods include:
Many shoulder surgery procedures can be performed minimally invasively with shoulder arthroscopy; however sometimes larger incisions are necessary to allow good visualisation of the injury. Some fractures are not suitable for repair or fixation and alternative procedures may be required such as replacement, excision or fusion. Most shoulder injuries whether treated surgically or non-surgically can affect arm mobility for several weeks or even months. Physiotherapy is recommended to decrease stiffness, improve range of motion and help you regain muscle strength. Shoulder Elbow Wrist Hand What should I discuss with my orthopaedic surgeon?Dr James McLean will discuss the following during your consultation:
BOOK AN APPOINTMENT How Dr James McLean can help Dr James McLean has extensive upper limb experience, including soft tissue and bone injuries. He will work with you to develop a treatment plan that will have the best possible outcome for your shoulder injury. What is the fastest way to heal a broken shoulder?Shoulder Fracture Treatment Options. Icing.. Immobilization with an arm sling or wrap while bones heal.. Oral medications to help alleviate pain.. Physical therapy and range-of-motion exercises (to begin once the bones have started to heal and under the close supervision of a physical therapist). Is a broken shoulder serious?A fractured shoulder is a medical emergency. Some shoulder fractures require surgery to allow the shoulder to heal properly. If surgery is not necessary, a doctor will fit you with a shoulder fracture sling. The sling will stabilize your arm and help keep the bones aligned for proper healing.
How long do you have to wear a sling for a broken shoulder?If you don't need surgery you will wear a sling at first to help keep your arm still to let the fracture start to heal and the callus start to form. How long you wear the sling may be slightly different depending on your injury but most fractures mean you will need to wear a sling for 3 to 4 weeks.
How painful is a broken shoulder?Pain, swelling, and bruising may occur around a fractured shoulder blade. You'll find it very painful to move the arm in any way, and to lift it will be impossible. Other symptoms include difficulty breathing due to movement of the chest wall with each breath.
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