AO Trauma Course—Shoulder Trauma

• Module 1—Clavicle
• Module 2—Scapula
• Module 3—Proximal Humerus
• Module 4—Humeral shaft

Clavicle:

• Failed treatment of a diaphyseal clavicle fracture
• Failed lateral clavicle fracture
• AC ligament injury
• Malunion of clavicle
• Sternoclavicular joint dislocation
• Medial clavicle fracture

Scapula:

• Displaced scapular body fracture
• Floating shoulder
• Anterior instability (anterior glenoid fracture or /labral avulsion)
• Articular glenoid fracture
• Fracture of the spine/coracoid/acromionProximal humerus

Proximal humerus:

• Displaced scapular body fracture
• Floating shoulder
• Anterior instability (anterior glenoid fracture or /labral avulsion)
• Articular glenoid fracture
• Fracture of the spine/coracoid/acromion

Proximal humerus complications:

• Loss of reduction - (Failed tuberosity fixation with a focus on prevention)
• Implant cutout
• Intraarticular screw penetration
• Failed nonoperative treatment
• Avascular necrosis
• Nonunion (operative)
• Nonunion (nonoperative)
• Tuberosity malunion
• Humeral head malunion

Anterior exposures to the clavicle

• Landmarks and exposure for lateral and medial clavicular fractures and AC joint/SC joint, with particular attention to the supraclavicular nerves, the AC and CC ligaments, and deltotrapezial fascia
• Exploration of neurovascular structures around the clavicle, including the supraclavicular plexus and vascular structuresPosterior exposures

Anterior exposures to the humerus

• Landmarks and exposure using deltopectoral approach, exploring the infraclavicular plexus, then take down the skin and determine how you can visualize the proximal humerus using an anterolateral approach
• Interdeltoid approach (deltoid split)
• Extend the deltopectoral incision to visualize the anterolateral humeral shaft (relation of musculocutaneous and median nerve and brachial artery)
• Advanced anatomy: explore the pectoral muscle and 2-piece tendon and pectoral nerves, axillary nerve exploration
• Anterior approach to the glenohumeral articulation

Posterior exposures to the scapula

• Landmarks and posterior approach for scapular fractures, with particular attention to suprascapular and axillary nerves and glenoid and lateral column/scapular body exposure

Posterior exposures to the humerus

• Posterior approach to the humerus: exploration of radial nerve