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Rehabilitation of a patient with ‘floating shoulder’ and associated fractures: A case report
Rehabilitation of a patient with ‘floating shoulder’ and associated fractures: A case report
- Source :
- Physiotherapy Theory and Practice. 28:542-551
- Publication Year :
- 2012
- Publisher :
- Informa UK Limited, 2012.
-
Abstract
- Case report.Scapular fractures are uncommon, and displaced glenoid fractures are even rarer. Surgery is usually performed for severely displaced fractures and positive outcomes have been reported, although some patients have residual limitations. Published rehabilitation guidelines are limited. The purpose of this case report is to describe the physical therapy (PT) rehabilitation of a patient with a complicated scapular fracture, and to describe factors influencing his outcome.Exercise, manual therapy, and modalities were used in the rehabilitation process. Outcome measures included manual muscle testing for strength, goniometry for range of motion (ROM), and the shoulder pain and disability index (SPADI) for function.Improvements in strength, ROM, and function were noted. The patient had full ROM, 4+ /5 to 5/5 strength, and a SPADI score of 3/100 at discharge from PT.The patient achieved a favorable outcome, in spite of having a long-duration wound infection and a second surgery for hardware removal. Further research should identify the optimal rehabilitation progression for patients with this type of surgery.
- Subjects :
- Adult
Male
musculoskeletal diseases
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Radiography
Physical Therapy, Sports Therapy and Rehabilitation
Scapular fracture
Manual Muscle Testing
Disability Evaluation
Physical medicine and rehabilitation
Fracture Fixation
Shoulder Pain
Fracture fixation
medicine
Humans
Muscle Strength
Range of Motion, Articular
Physical Therapy Modalities
Pain Measurement
Postoperative Care
Modalities
Rehabilitation
Arthrometry, Articular
Shoulder Joint
business.industry
Accidents, Traffic
Recovery of Function
musculoskeletal system
medicine.disease
Biomechanical Phenomena
Scapula
Treatment Outcome
Shoulder Fractures
Physical therapy
Shoulder Injuries
Manual therapy
business
Range of motion
Subjects
Details
- ISSN :
- 15325040 and 09593985
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Physiotherapy Theory and Practice
- Accession number :
- edsair.doi.dedup.....ecff9cb0e25127784688f359a90a37fc
- Full Text :
- https://doi.org/10.3109/09593985.2011.654178