Inestabilidad de la cintura escapular secundario a fractura de acromion asociada a luxación acromioclavicular. A propósito de un caso. Hospital Luis Vernaza

Tumbaco Tumbaco Tatiana, Wilson Martinez Vizuete, Tumbaco Tumbaco Angélica María, Felipe Jiménez Pinto, Dennis Ramirez Pulua

Abstract


Introduction The superior suspensory complex (SSSC) described by Goss, is a ring composed of the glenoid, the coracoid process, the coracoclavicular ligaments, the distal clavicle, the acromioclavicular joint and the acromial process. A double disruption of the upper suspensory complex of the shoulder produces an instability between the complex of the scapular waist and the axial skeleton, called "floating shoulder". Objective. It establishes the importance of the study of cases concerning the instability of the shoulder girdle Materials and methods Here is shown the case of a patient with double disruption of the SSSC, Results for displaced fracture of acromion associated with acromioclavicular dislocation, treated surgically with satisfactory results. Discussion Although surgical indications have been reported, the fixation techniques of these fractures is limited. Conclusions We present this case that is not frequent in our professional practice.

Keywords


Superior Shoulder Suspensory Complex, Acromion Fracture, Scapula Fracture, Acromioclavicular Dislocation.

Full Text:

PDF HTML

References


Ada JR, Miller ME. Scapular fractures. Analysis of 113 cases. ClinOrthop Relat Res. 1991;269:174-80.12.

Ayestarán, A. C., & Gutierrez, R. C. Anatomía y función de la articulación acromioclavicular. Revista Española de Artroscopia y Cirugía Articular; 2015 22(1), 3-10

Galatz L, Williams GR Jr. Lesiones de la articulaciónacromioclavicular. En: Buchholz RW, Heckman JD, editores.Rockwood & Green’s. Fracturas en el adulto. 5.aed. Madrid:Marban; 2003. p. 1209–44.4.

Goss TP. Fractures of the scapula. En: Rockwood CA, Matsen FA,Wirth MA, Lippitt SB, editores. The shoulder. 3rd ed. Philadelp-hia: Saunders; 2004. p. 413-54.

Hill, B. W., Anavian, J., Jacobson, A. R., & Cole, P. A. Surgical management of isolated acromion fractures: Technical tricks and clinical experience. Journal of orthopaedic trauma; 2014: 28(5), e107-e113.

Joseph D. Zuckerman, Kenneth J. K oval. Fracturas de Hombro. Guía Práctica de Manejo: Fracturas de la Escápula; 2007.p.199-221

Montoya, A. A., Eusse, H. D. G., Orozco, M. P. D., Zdravkovic, V., & Jost, B. (2016). Traumatismo de alta energía con luxación anterior de hombro y fractura concomitante del acromion. Reporte de caso. Revista Colombiana de Ortopedia y Traumatología, 30(3), 112-116.

Navlet, M. G., & Gismero, C. V. A. (2015). Razones para la cirugía precoz en las luxaciones acromioclaviculares tipo iii. Revista Española de Artroscopia y Cirugía Articular, 22(1), 24-27.

Neviaser RJ. Radiologic assessment of the shoulder. Plain andarthrographic. Orthop Clin North Am. 1987;18:343-9.

Pinkas, D., & Wiater, J. M. 12 The floating shoulder. Shoulder and Elbow Trauma and its Complications: Volume 1: The Shoulder; 2015: 253

Wilson JM, Thomas AN, Goodman PC, Lewis FR. Severe chesttrauma. Arch Surg. 1978;113:846-9




DOI: https://doi.org/10.31876/er.v3i27.563

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.