Fractured Shoulder

Understanding Shoulder Fractures

The shoulder is a complex structure comprised of three main bones: the upper arm bone (humerus), the shoulder blade (scapula), and the collarbone (clavicle). These shoulder bones work together to provide strength, stability, and mobility.

When one or more of these bones experiences a broken bone, it’s referred to as a shoulder fracture. This type of injury can significantly affect your quality of life if not treated promptly.

What is a Shoulder Fracture?

A shoulder fracture occurs when any of the three shoulder bones breaks due to trauma or stress. These fractures can vary in severity, ranging from nondisplaced fractures, where the bones remain aligned, to displaced fractures, where the broken pieces shift out of place. Both types require careful attention to avoid long-term complications, such as loss of function or chronic pain.

Types of Shoulder Fractures

1. Proximal Humerus Fractures: These occur in the upper portion of the arm bone, near the shoulder joint, and are common among older adults with osteoporosis.
2. Clavicle Fractures: Also known as collarbone fractures, these occur between the shoulder and chest, often due to falls or sports injuries.
3. Scapula Fractures: These are less common but can happen from high-energy trauma, such as a car accident, impacting the shoulder blade.

Common Causes of Shoulder Fractures

Shoulder fractures typically result from:

• Falls: A direct fall onto an outstretched arm or shoulder is a leading cause.
• Sports Injuries: High-impact sports can increase the risk of a clavicle fracture or proximal humerus fracture.
• Vehicle Accidents: High-speed collisions can result in severe scapula fractures.
• Osteoporosis: Weak bones are more susceptible to breaking from minimal impact.

Risk Factors

Certain factors increase the likelihood of experiencing a shoulder fracture, including:

• Age: Older adults are at higher risk due to weaker bones.
• Osteoporosis: A significant contributor to fractures, particularly in the upper arm bone.
• High-impact activities: Participation in sports or jobs that involve heavy lifting or repetitive motion.
• History of Fractures: Previous broken bones may increase susceptibility to new fractures.

What Are the Symptoms of Shoulder Fractures?

Common signs of a shoulder fracture include:

• Shoulder pain: Often severe and localized near the fracture.
• Swelling and bruising: These symptoms typically appear near the site of the broken bone.
• Limited range of motion: Difficulty moving the arm or shoulder.
• Visible deformity: A sign of displaced fractures.
• Crepitus: A grinding or popping sensation when moving the shoulder.

How Are Shoulder Fractures Diagnosed?

A healthcare provider will use the following steps to diagnose a shoulder fracture:

• Physical Examination: Assessing tenderness, swelling, and mobility.
• Imaging Tests: X-rays are typically used to locate the fracture, while CT scans may be necessary for complex cases like scapula fractures.
• Joint Analysis: Evaluating the shoulder joint for associated injuries, such as dislocations.

Treatment for Fractured Shoulders

Treatment for a fractured shoulder depends on the type and severity of the fracture:

Non-Surgical Options

• Immobilization: A sling or brace helps stabilize nondisplaced fractures for proper healing.
• Pain Management: Over-the-counter or prescribed medications can reduce discomfort.
• Physical Therapy: Restoring the range of motion and strength post-immobilization is crucial.

Shoulder Fracture Surgery

Surgical intervention is necessary for displaced fractures or complex injuries. Procedures may include:

• Open Reduction and Internal Fixation (ORIF): Using plates, screws, or rods to realign and stabilize the broken bones.
• Shoulder Replacement Surgery: Required in severe cases where the joint is irreparably damaged.

How Can Shoulder Fractures Be Prevented?

While not all fractures are avoidable, you can reduce your risk by:

• Preventing Falls: Use handrails, remove tripping hazards, and wear proper footwear.
• Building Bone Strength: Incorporate calcium-rich foods and weight-bearing exercises into your routine.
• Protective Gear: Wear appropriate gear during high-risk activities like cycling or contact sports.
• Addressing Osteoporosis: Regular bone density screenings and medication can strengthen bones.

Regain Your Shoulder’s Strength and Mobility

Shoulder fractures can be painful and limiting, but with proper diagnosis and treatment, full recovery is achievable. Whether you need shoulder fracture surgery, physical therapy, or advice on prevention, the experts at Georgia Hand, Shoulder & Elbow are here to help. Our team in Atlanta and Marietta, GA, specializes in caring for the hands, shoulders, and elbows, ensuring you receive the highest quality treatment tailored to your needs.

Don’t let shoulder pain hold you back—schedule an appointment today and take the first step toward recovery! Let us help you regain your mobility and get back to the activities you love with confidence.