Abstract
* “Floating shoulder” may be considered to be an unstable displaced fracture of the surgical or anatomical neck of the scapula with or without a clavicular fracture.* In cases of surgical neck fractures, there must occur an associated rupture of the coracoclavicular and coracoacromial ligaments or a fracture of their osseous equivalents (acromion and extra-articular or intra-articular coracoid base).* Injury to the superior shoulder suspensory complex without a fracture of the anatomical or surgical neck does not result in floating shoulder. If isolated, these superior shoulder suspensory complex lesions are mostly stable, and their displacement is minimal.* Radiographs are inadequate to determine the exact fracture pattern for fractures of the surgical neck and body of the scapula. Therefore, examination should include 3-dimensional computed tomographic reconstructions, in standardized views, with subtraction of the surrounding bones.* Unstable displaced fractures of the surgical or anatomical neck of the scapula should undergo a surgical procedure via the Judet approach.
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