Abstract:

Objective　The purpose of this study is to demonstrate diagnosis and treatment of patients with multiple disruptions of superior shoulder suspensory complex (SSSC).　Methods　Between 2012 and 2016, we treated 15 patients with multiple disruptions of the SSSC, which were diagnosed according to the theory of two columns and single rings. All patients had more than two lesions to the SSSC and were treated by double fixation of superior shoulder suspensory complex.　Results 　All the patients were followed up for 6 to 48 months﹙16 months on average﹚. According to Herscovici shoulder scale, the shoulder function was excellent in 8 cases, good in 4 cases, fair in 3 cases, poor in 1 cases, which means excellent and good rate was 80%. Final pain was reported as minimal (6 cases; 1-3 VAS), moderate (1 case; 4-6 VAS), and high (1 case; 7-10VAS).　Conclusions 　The restoration of the stability and integrity of superior shoulder suspensory complex is the key to achieve satisfactory outcome.

Key words: Scapular fracture, Clavicle fracture, Superior Shoulder Suspensory Complex, Floating shoulder injury