Results of Fixation of Clavicle Alone in Managing Floating Shoulder

CK Low, AWM Lam
Correspondence: Dr Low Chee Kwang

ABSTRACT
Aim of Study A retrospective review on the outcomes of four floating shoulder, ipsilateral scapular neck and clavicular fractures, treated with open reduction and internal fixation of the clavicle alone using plate and screws.
Methods All patients were evaluated by interview, physical examination and radiological examination at an average follow up period of 3.3 years (range: 2-4 years). Functional outcomes were rated using Rowe's score.
Results Radiological union of both fractures occurred at an average of 2.8 months (range: 8-12 weeks). Excellent result was seen in three cases and good in one.
Conclusion Plating of clavicle alone restored stability of shoulder and allowed early range of motion exercises. All cases gained good and excellent function.

Keywords: Ipsilateral scapular neck and clavicular fractures, Rowe’s score
Singapore Med J 2000; 41(9): 452-453