This chapter explores the realm of sports-related shoulder fractures, encompassing a spectrum of injuries resulting from high-energy impact, repetitive stresses, and forceful contractions. Five types of fractures are presented: bony Bankart fractures, humerus tuberosity fractures, scapula body fractures, acromion fractures, and coracoid Fractures. Bony Bankart fractures occur commonly in athletes experiencing anterior shoulder dislocations. These fractures can destabilize the shoulder joint, necessitating accurate assessment and optimal management strategies. Various imaging techniques, including radiographs and advanced modalities like MRI and CT, aid in diagnosing and quantifying bone loss. Treatment options range from conservative management to arthroscopic or open repair, dependent on factors like chronicity, bone loss, and patient profile. Postoperative rehabilitation is crucial for regaining shoulder function. Humerus tuberosity fractures, encompassing greater and lesser tuberosity injuries, present unique challenges. Displaced fractures demand tailored treatment plans, involving nonoperative measures or surgical interventions. Arthroscopic techniques have evolved, enabling minimally invasive management of these fractures. The outcomes of operative interventions are favorable, restoring range of motion and strength. Scapular body fractures, although rare, are significant due to their potential impact on upper body function. Both direct trauma and repetitive stress contribute to these fractures in athletes across various sports. The chapter discusses diagnostic methods and offers insights into successful conservative management, enabling athletes to return to their respective sports. Acromion fractures, including stress fractures, arise from specific repetitive activities such as golf swings. Timely diagnosis, utilizing CT and MRI, facilitates effective management, which can involve both conservative and surgical approaches. Coracoid fractures, often accompanied by AC joint injuries, are linked to trauma in contact sports and repetitive strain in activities like tennis and cricket. Conservative and surgical treatments are evaluated based on fracture type and severity. Athletes’ return to sport varies but is achievable with careful intervention and rehabilitation. In summary, understanding the unique characteristics, mechanisms, diagnosis, and management strategies of various sports-related shoulder fractures is crucial for optimizing treatment outcomes and ensuring athletes’ successful return to play.

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Sports-Related Shoulder Fractures: Diagnosis, Management, and Rehabilitation

  • Teo Yu Ze Evan,
  • Yik Jing Hui Kevin,
  • Lee Yee Han Dave,
  • Chanakarn Phornphutkul

摘要

This chapter explores the realm of sports-related shoulder fractures, encompassing a spectrum of injuries resulting from high-energy impact, repetitive stresses, and forceful contractions. Five types of fractures are presented: bony Bankart fractures, humerus tuberosity fractures, scapula body fractures, acromion fractures, and coracoid Fractures. Bony Bankart fractures occur commonly in athletes experiencing anterior shoulder dislocations. These fractures can destabilize the shoulder joint, necessitating accurate assessment and optimal management strategies. Various imaging techniques, including radiographs and advanced modalities like MRI and CT, aid in diagnosing and quantifying bone loss. Treatment options range from conservative management to arthroscopic or open repair, dependent on factors like chronicity, bone loss, and patient profile. Postoperative rehabilitation is crucial for regaining shoulder function. Humerus tuberosity fractures, encompassing greater and lesser tuberosity injuries, present unique challenges. Displaced fractures demand tailored treatment plans, involving nonoperative measures or surgical interventions. Arthroscopic techniques have evolved, enabling minimally invasive management of these fractures. The outcomes of operative interventions are favorable, restoring range of motion and strength. Scapular body fractures, although rare, are significant due to their potential impact on upper body function. Both direct trauma and repetitive stress contribute to these fractures in athletes across various sports. The chapter discusses diagnostic methods and offers insights into successful conservative management, enabling athletes to return to their respective sports. Acromion fractures, including stress fractures, arise from specific repetitive activities such as golf swings. Timely diagnosis, utilizing CT and MRI, facilitates effective management, which can involve both conservative and surgical approaches. Coracoid fractures, often accompanied by AC joint injuries, are linked to trauma in contact sports and repetitive strain in activities like tennis and cricket. Conservative and surgical treatments are evaluated based on fracture type and severity. Athletes’ return to sport varies but is achievable with careful intervention and rehabilitation. In summary, understanding the unique characteristics, mechanisms, diagnosis, and management strategies of various sports-related shoulder fractures is crucial for optimizing treatment outcomes and ensuring athletes’ successful return to play.