Treatment of Shoulder Fractures
Fractures can be with fracture bone fragments remaining in place (un-displaced) or grossly separated bony fragments (displaced). These fractures can be associated with dislocation of nearby joints, fracture-dislocations. The less the joint used due to pain there is more thickening of joint capsule which will lead to  Freeze-in state hence it’s called frozen shoulder.
Most of the fracture clavicle is treated with no surgery. Local ice application is advised and sling is given for rest till the fracture pain is reduced. Once the initial healing phase begins then physiotherapy exercises are advised to improve movement and restore strength.
Surgery is needed when the bone fragments of fracture clavicle are piercing the skin or with displaced fracture fragment with more than 1 cm of gap or overriding / shortening more than 1.5cm. Fracture on outer side end of clavicle  are most of the time separated because the  ligaments holding clavicle are injured  and opposing forces acting on either side of the fracture fragment from major neck muscles and weight of arm itself. With surgery the fracture fragments are brought together and held with plate and screws.
Do you have shoulder treatment for Shoulder Fractures?
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Humerus head (upper arm bone) Fractures
Treatment of humerus fracture depends on age of patient, current activity level, amount of separation of fracture fragments and number of fracture fragments, and bone quality (Osteoporosis). In older patients fractures with minimal displacement (impacted) are treated with shoulder immobilization brace followed by physiotherapy. Displaced fracture fragment in young patients with gap of 3 to 5 mm are treated with open surgery to align fracture and fix with plate and screw.
Surgical treatment:
Treatment options depends bone quality and patients activity demands.
Percutaneous pining – fracture fragments are align with manipulating arm and held with K wires passing though skin with no open surgery.
Plate and screw fixation- with open surgery fracture fragments are repositioned and held with plate and screws.
Hemiarthroplasty (Replacement of upper arm bone) – in more complex fracture fragments and with poor bone quality.
Reverse shoulder replacement (RSA) – in elderly less demanding patients where the other treatment options are likely to cause complications or in failed previous fracture fixation surgery.
