Ehab M Farhan and Saif S Aldhuhoori*

FRCS Consultant Orthopedics and Trauma Surgeon, Zayed Military Hospital, Abu Dhabi, UAE

*Corresponding Author: Saif S Aldhuhoori, FRCS Consultant Orthopedics and Trauma Surgeon, Zayed Military Hospital, Abu Dhabi, UAE.

Received: August 11, 2022; Published:

Abstract

The superior shoulder suspensory complex (SSSC) is an extremely important structure composed of a ring of bone and soft tissues at the superior aspect of the shoulder. Double disruption leads to instability of the construct and usually requires operative treatment. Triple disruption of the SSSC is extremely rare and is encountered in high-energy trauma cases often in association with other injuries. The authors experienced a case of quadruple disruption involving the acromion, glenoid, and segmental clavicle fracture. This type of SSSC disruption is unlikely to have been caused by a single impact and is rather caused by multiple impacts during one traumatic event.

Keywords: Superior Shoulder Suspensory Complex; Quadruple Disruption; Clavicle; Acromion, Coracoid; Acromioclavicular Joint

References

1. Ada JR and Miller ME. “Scapular fractures. Analysis of 113 cases”. Clinical Orthopaedics and Related Research 269 (1991): 174-180.
2. Goss TP. “Double disruptions of the superior shoulder complex”. Journal of Orthopaedic Trauma 7 (1993): 99-106.
3. Anavian J., et al. “Surgical and functional outcomes after operative management of complex and displaced intra- articular glenoid fractures”. The Journal of Bone and Joint Surgery America 94 (2012): 645-653.
4. Bahk MS., et al. “Acromioclavicular and sternoclavicular injuries and clavicular, glenoid, and scapular fractures”. The Journal of Bone and Joint Surgery America 91 (2009): 2492-2510.
5. Bartoníček J., et al. “Fractures of the scapular neck: diagnosis, classifications and treatment”. International Orthopaedics 38 (2014): 2163-2173.
6. Goss TP. “Scapular fractures and dislocations: Diagnosis and treatment”. Journal of the American Academy of Orthopaedic Surgeons 3 (1995): 22-33.
7. Jung CY., et al. “Treatment of triple fracture of the superior shoulder suspensory complex”. Journal of the Korean Orthopaedic Association 46 (2011): 68-72.
8. Kim SH., et al. “Triple disruption of the superior shoulder suspensory complex”. International Journal of Shoulder Surgery 6 (2012): 67-70.
9. Lecoq C., et al. “Triple fracture of the superior shoulder suspensory complex”. Acta Orthopaedica Belgica 67 (2001): 68-72.
10. Liu AJ., et al. “Triple injury to the superior shoulder suspensory complex”. Formosan Journal of Musculoskeletal Disorders4 (2013): 81-83.
11. Sung CM and Park HB. “Triple disruption of the superior shoulder suspensory complex: case report at 5-year-follow up”. Clinics in Shoulder and Elbow 15 (2012): 143-147.
12. Mariño IT., et al. “Triple fracture of the shoulder suspensory complex”. Revista Española de Cirugía Ortopédica y Traumatología 57 (2013): 371-374.
13. Oh W., et al. “The treatment of double disruption of the superior shoulder suspensory complex”. International Orthopaedics 26 (2002): 145-149.
14. Lapner PC., et al. “Scapula fractures”. Orthopedic Clinics of North America 39 (2008): 459-474.
15. Rounds RC. “Isolated fracture of the coracoid process”. The Journal of Bone and Joint Surgery 31 (1994): 662-663.
16. Asbury S and Tennent T. “Avulsion fracture of the coracoid process: a case report”. Injury 36 (2005): 567-568.
17. Ogawa K., et al. “Fractures of the coracoid process”. The Journal of Bone and Joint Surgery British 79 (1997): 17-19.
18. Goss TP and Owens BD. “Fractures of the scapula”. In: Rockwood CA, Matsen FA, eds. The Shoulder, 4^th Elsevier Health Sciences (2009): 333-380.
19. Goss TP. “The scapula: coracoid, acromial, and avulsion fractures”. American Journal of Orthopedics (Belle Mead NJ)) 25 (1996): 106-115.
20. Oshima M., et al. “Complex injury patterns of the shoulder girdle three or four site injury”. Shoulder Joint 27 (2003): 555-559.
21. Vulawka B., et al. “Triple and quadruple disruption of the superior shoulder suspensory complex”. Journal of Orthopaedic Trauma 29 (2015): 264-270.
22. Toft F and Moro F. “Quadruple disruption of the superior shoulder suspensory complex and outcome after one year of conservative treatment: a case report”. Journal of Clinical and Experimental Orthopaedics 2 (2016): 20.

Citation

Citation: Ehab M Farhan and Saif S Aldhuhoori. “Quadruple Disruption of the Superior Shoulder Suspensory Complex: Case Report and Review of the Literature". Acta Scientific Orthopaedics 5.10 (2022): 00-00.

Copyright

Copyright: © 2022 Ehab M Farhan and Saif S Aldhuhoori. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.