The shoulder is a complex joint that connects your arm to the body. It is a combination of bones that consists of humerus (upper arm bone), the scapula (shoulder blade) and the clavicle (collarbone). The upper part of the humerus looks like a ball connecting the socket to the scapula, called the glenoid. By any means, if any of these shoulder parts get disturbed, then it loses its function. A shoulder fracture can be due to a fall, a motor vehicle accident, collision in contact sports or any other trauma, etc.
Fundamentals Of A Shoulder Fracture
A trauma might damage the humerus (ball) bone or the glenoid (socket) bone or misplace the shoulder joint. Majority of shoulder fractures can be addressed without surgery. Some fractures require surgery because they might carry potential risk factors if not treated. Some fractures are unlikely to heal, resulting in a non-union or may heal in the wrong direction resulting in a malunion, if not treated surgically.
Fractures are defined as either displaced or non-displaced. Fortunately, around 80% of all shoulder bone fractures are non-displaced. This indicates that the broken bones remain near the joint and requires conventional treatment like immobilization of the joint until the bone fragments heal. In most cases, shoulder fractures might heal in about six weeks. Around 20% of shoulder fractures are displaced, and they require some sort of surgical management to restore normal anatomy. Often the rotator cuff muscles get damaged at the same time when fracture happens.
Types Of Shoulder Fractures
The type of shoulder fracture is classified based on your age. In children, shoulder fractures mostly occur in the clavicle bone. In adults, shoulder fractures commonly happen on the upper part of the humerus (proximal humerus).
Clavicle Fractures: This is one of the common shoulder fractures that frequently happen due to falls.
Scapula Fractures: Fractures to scapula bones occur rarely. Generally, they occur as a result of high-energy trauma, such as motor vehicle accidents and falls.
Proximal Humerus Fractures: These type of fractures are more common in old age people (above 65 years of age) and occur in the upper part of the arm. However, in some cases, these might end up as just cracks in the bones, as the bone has not moved far out of its normal position.
Symptoms Of A Shoulder Fracture
- Shoulder Pain
- Swelling or bruising around the shoulder area
- Tenderness, redness and pain when you touch
- Shoulder instability
- “Bump” at the site of the fracture
- Discolouration around the fractured upper arm
- Lack of movement in the shoulder
- Shoulder looks deformed or seems out of place
Diagnosing Shoulder Fractures
To diagnose any shoulder fracture, an orthopaedic specialist prescribes imaging tests to find the exact location and the severity of the fracture. Dr Vasudeva Juvvadi, a Consultant orthopaedic surgeon at Sunshine Hospitals, offers the latest imaging techniques and diagnostic tools to evaluate shoulder fractures.
- CT scan
- MRI(Magnetic resonance imaging) scan
- Musculoskeletal ultrasound imaging
We also possess advanced imaging technology of musculoskeletal radiology to make an exact diagnosis for the best possible treatment plan to care for your shoulder fracture.
Treatment For Shoulder Fracture
Dr Vasudeva Juvvadi is one of the best fracture treatment doctors in Hyderabad and an expert in treating both non-displaced and displaced shoulder fractures. He uses modern non-surgical and surgical methods in the treatment. Some other shoulder fractures might be treated through non-invasive techniques, while others require complex surgical procedures to repair the fractured shoulder bone. Your treatment plan might include both conventional and surgical techniques.
Most of the non-displaced shoulder fractures can be managed with conservative treatment options, such as:
- Icing(ice therapy)
- Immobilization of an arm while bones heal
- Oral medications to reduce pain
- Physical therapy & range-of-motion exercises
Surgery For Shoulder Bone Fractures
When the shoulder bones are displaced or in case of an open fracture, surgery is inevitable. Surgery fixes the fracture by repairing damaged ligaments, tendons and muscles.
Bone fracture treatment involves adjusting the bones back into its position. Orthopaedic surgeons use specific hardware such as plates, screws or nails. Some fractures might result in bone loss, and the surgeon performs bone grafting; also repairs soft tissues like ligaments & tendons. Some complicated shoulder fractures might end up with a joint replacement.
Non-Union and Malunion Shoulder Fracture Surgery
This type of fractures is formed due to improper treatment or no treatment given to a fractured shoulder. Non-union fracture is a broken bone that did not heal properly. A malunion fracture is a broken bone that is healed in the wrong direction, often resulting in deformity. The treatment options include surgery to eliminate infection (if present), stabilizing the fracture or stimulating the bone growth by stimulating devices, using a bone graft or bone graft substitute.
Dr Vasudeva is a 12+ year experienced orthopaedic surgeon in Hyderabad, and he is well-known for repairing the most complex fractures of non-union and malunion cases. He uses highly advanced surgical techniques to ensure the best possible outcomes for more severe shoulder fractures. He actively works on modern surgical techniques and technologies to make surgeries secure and more comfortable.
However, treatment for shoulder fractures varies from person to person depending on the severity, part of the shoulder that was damaged and various other health conditions. If you had a shoulder fracture or suffering from shoulder pain or need fracture treatment in Hyderabad, then consult Dr Vasudeva Juvvadi, one of the best shoulder surgeon in Hyderabad.