Treatment of Triple Fracture of the Superior Shoulder Suspensory Complex.
10.4055/jkoa.2011.46.1.68
- Author:
Chul Young JUNG
1
;
Il Soo EUN
;
Jin Wan KIM
;
Young Chul KO
;
Young June KIM
;
Chang kyu KIM
Author Information
1. Department of Orthopedic Surgery, Busan Medical Center, Busan, Korea. gizer00@hanmail.net
- Publication Type:Case Report
- Keywords:
shoulder;
superior shoulder suspensory complex;
triple fracture;
operative treatment
- MeSH:
Accidents, Traffic;
Acromioclavicular Joint;
Acromion;
Clavicle;
Ligaments;
Shoulder;
Skeleton;
Upper Extremity
- From:The Journal of the Korean Orthopaedic Association
2011;46(1):68-72
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The Superior Shoulder Suspensory Complex (SSSC) is a bony and soft tissue ring comprising the glenoid process, the coracoid process, the coracoclavicular ligaments, the distal clavicle, the acromioclavicular joint, and the acromion. The SSSC maintains a normal stable relationship between the upper extremity and the axial skeleton. High-energy injury, such as traffic accident or a fall, can cause disruption of the SSSC. Single traumatic disruption of the SSSC is common. However, double disruption of the SSSC is infrequent and surgical management is generally necessary. We have experienced a case of triple fracture involving the coracoid process, the acromion, and the distal end of the clavicle. Such disruption of the SSSC has not been previously reported in our country and only one case has been reported in the Western literature; the authors obtained positive clinical results with surgical treatment. We report here on this case and include a review of the relevant literature.
