eMedicine Specialties > Orthopedic Surgery > Shoulder

Floating Shoulder: Workup

Author: Eric S Gaenslen, MD, Consulting Surgeon, Department of Orthopedics, Advanced Healthcare, SC
Contributor Information and Disclosures

Updated: Mar 31, 2009

Workup

Laboratory Studies

  • Laboratory studies include CBC, basic metabolic profile, and urinalysis.

Imaging Studies

  • A chest radiograph, cervical spine series, and electrocardiogram often also are indicated based upon the history and physical examination findings.
  • Specific radiographic evaluation of the shoulder injury should include plain radiographs of the clavicle and the shoulder trauma series (true anteroposterior view of the glenohumeral joint, axillary view, and scapular lateral view). If concern exists regarding an intraarticular extension of the scapular neck fracture or if the scapular neck fracture is inadequately depicted on the plain films, a CT scan of the scapula should be obtained.

More on Floating Shoulder

Overview: Floating Shoulder
Workup: Floating Shoulder
Treatment: Floating Shoulder
Follow-up: Floating Shoulder
References
Further Reading

References

  1. Owens BD, Goss TP. The floating shoulder. J Bone Joint Surg Br. Nov 2006;88(11):1419-24. [Medline].

  2. DeFranco MJ, Patterson BM. The floating shoulder. J Am Acad Orthop Surg. Aug 2006;14(8):499-509. [Medline].

  3. van Noort A, van der Werken C. The floating shoulder. Injury. Mar 2006;37(3):218-27. [Medline].

  4. Davidson JJ. Floating shoulder injuries. Duke Orthopaedics presents Wheeles' Textbook of Orhtopaedics. Available at http://www.wheelessonline.com/ortho/floating_shoulder_injuries. Accessed March 31, 2009.

  5. Herscovici D Jr, Fiennes AG, Allgower M, Rucdi TP. The floating shoulder: ipsilateral clavicle and scapular neck fractures. J Bone Joint Surg Br. May 1992;74(3):362-4. [Medline].

  6. Kumar VP, Satku K. Fractures of clavicle and scapular neck. J Bone Joint Surg Br. May 1993;75(3):509. [Medline].

  7. Goss TP. Double disruptions of the superior shoulder suspensory complex. J Orthop Trauma. 1993;7(2):99-106. [Medline].

  8. Ada JR, Miller ME. Scapular fractures. Analysis of 113 cases. Clin Orthop. Aug 1991;(269):174-80. [Medline].

  9. Rowe CR. Evaluation of the shoulder. In: Rowe CR, ed. The Shoulder. NY:. Churchill Livingstone;1988:631-637.

  10. Leung KS, Lam TP. Open reduction and internal fixation of ipsilateral fractures of the scapular neck and clavicle. J Bone Joint Surg Am. Jul 1993;75(7):1015-8. [Medline].

  11. Edwards SG, Whittle AP, Wood GW 2nd, et al. Nonoperative treatment of ipsilateral fractures of the scapula and clavicle. J Bone Joint Surg Am. Jun 2000;82(6):774-80. [Medline].

  12. Ramos L, Mencia R, Alonso A, Ferrandez L. Conservative treatment of ipsilateral fractures of the scapula and clavicle. J Trauma. Feb 1997;42(2):239-42. [Medline].

  13. Rikli D, Regazzoni P, Renner N. The unstable shoulder girdle: early functional treatment utilizing open reduction and internal fixation. J Orthop Trauma. Apr 1995;9(2):93-7. [Medline].

  14. Kim KC, Rhee KJ, Shin HD, Yang JY. Can the glenopolar angle be used to predict outcome and treatment of the floating shoulder?. J Trauma. Jan 2008;64(1):174-8. [Medline].

  15. Butters KP. The scapula. In: Rockwood CA Jr, Matsen FA, eds. The Shoulder. Vol 1. Philadelphia:. WB Saunders Co;1998:391-427.

  16. Ganz R, Noesberger B. [Treatment of scapular fractures]. Hefte Unfallheilkd. Nov 1975;(126):59-62. [Medline].

Keywords

floating shoulder, ipsilateral fractures of the clavicle and scapular neck, clavicle fracture, scapula fracture

Contributor Information and Disclosures

Author

Eric S Gaenslen, MD, Consulting Surgeon, Department of Orthopedics, Advanced Healthcare, SC
Eric S Gaenslen, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Medical Association, and American Society for Surgery of the Hand
Disclosure: Nothing to disclose.

Medical Editor

Cato T Laurencin, MD, PhD, Van Dusen Chair Professor of Academic Medicine, Distinguished Professor of Orthopaedic Surgery, and Chemical, Materials, and Biomolecular Engineering, University of Connecticut
Cato T Laurencin, MD, PhD is a member of the following medical societies: American Academy of Orthopaedic Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Pekka A Mooar, MD, Associate Professor, Department of Orthopedic Surgery, Temple University School of Medicine
Pekka A Mooar, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Mary Ann E Keenan, MD, Professor, Vice Chair for Graduate Medical Education, Department of Orthopedic Surgery, University of Pennsylvania School of Medicine; Chief of Neuro-Orthopedics Program, Department of Orthopedic Surgery, Hospital of the University of Pennsylvania
Mary Ann E Keenan, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Orthopaedic Foot and Ankle Society, American Society for Surgery of the Hand, and Orthopaedic Rehabilitation Association
Disclosure: Nothing to disclose.

 
 
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