Shoulder Fractures

The shoulder joint is made up of two bones; the humerus and scapula in the upper arm. The ligaments around the bones make the shoulder joint stable and protect the shoulder from injury.

• Pain, deformity of the shoulder
• Swelling and bruising of the shoulder, upper arm
• Loss of Shoulder movement
• Numbness, tingling of the fingers

If you think you have suffered a shoulder fracture, a thorough history and examination should be performed by an orthopedic specialist. Our Walk-In Anytime Ortho Orthopedic Urgent Care Clinic (link to anytime ortho page) is a convenient affordable way to get an accurate diagnosis and prompt treatment without having to go through the hassle and costs of a hospital emergency room.

Shoulder fractures are diagnosed using imaging techniques such as X-rays, CT scan, or MRI. X-rays are important to determine the characteristics of the dislocation or if there is a fracture. MRI of the shoulder can identify the extent of any ligament or soft tissue injury.

Treatment options for shoulder fractures will be discussed between the patient and the orthopedic specialist. The best treatment depends on factors such as fracture type and patient age.

• Closed reduction without manipulation - If the fracture is in a good position, simple shoulder fractures may be treated with temporary immobilization in a sling, followed by range of motion and physical therapy.
• Closed reduction and percutaneous pinning - If the fracture is out of place, is able to be reduced into position without making an incision, but the fracture position cannot be held in place with just a cast, a closed reduction percutaneous pinning may sometimes be performed. This involves going to the operating room and pushing the fracture fragments back into place. X-ray is used to make sure that the pieces are lined up properly. Pins are then inserted to hold the pieces reduced. A splint or cast is placed in the operating room. The pins are kept in place for 4-6 weeks and are removed in the office.
• Open reduction and internal fixation - This involves making an incision over the shoulder fracture that is not in good alignment, then reducing the broken fragments into good position under direct visualization. The fracture is then held in place with either a plate and screws or pins.
• Shoulder replacement - When the shoulder fracture is not reparable, the fractured pieces may be removed and replaced with an artificial ball, or socket. Sometimes a reverse total shoulder replacement is necessary, which involves attaching a metal ball to the socket and fixing the plastic socket to the humerus.