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The POSH - Pondy Ortho Speciality Hospital

Pondy Ortho Speciality Hospital

NABH
🦴 Shoulder Girdle · Complex ORIF Case

Shoulder GirdleORIF — Full Restoration

A complex shoulder girdle injury involving clavicle, scapula and AC joint disruption — at The POSH - Pondy Ortho Speciality Hospital, Pondicherry, precise open reduction and internal fixation restored complete shoulder function.

🦴 View Case Details
🦴 Complex Shoulder Injury 🔩 ORIF Procedure 🩺 AC Joint Fixed ✅ Full Mobility Restored
🔩
3
Structures Fixed
0
Revisions Needed
💪
100%
Shoulder Function
Shoulder Girdle ORIF Case SHOULDER SURGERY
0
Structures Fixed
0
Surgical Session
0
Revisions Needed
0
Shoulder Function
🦴

The Injury

Complex Shoulder Girdle Trauma

A patient was brought to The POSH - Pondy Ortho Speciality Hospital, Pondicherry with a complex shoulder girdle injury involving multiple structures — clavicle fracture, scapula disruption, and complete acromioclavicular (AC) joint separation following high-energy trauma.

This constellation of injuries left the shoulder girdle completely unstable and painful. Without proper surgical fixation, permanent disability and chronic shoulder dysfunction were inevitable. Our team planned a comprehensive open reduction and internal fixation (ORIF) strategy to address all structures in a single session.

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Clavicle FractureDisplaced mid-shaft clavicle fracture with shortening — requiring anatomical plate fixation for shoulder girdle stability
🫛
Scapula DisruptionScapula body and neck involvement — additional fixation required to restore shoulder suspension
🔗
AC Joint SeparationComplete acromioclavicular joint disruption (Grade V) — ligament reconstruction and hook plate fixation
High-Energy MechanismComplex multi-structure injury from high-energy trauma requiring multi-implant fixation strategy

"Three shoulder structures. One precision operation. Complete restoration of a complex girdle injury."

Surgical Journey

Step-by-Step Surgical Management

Clinical Timeline
Shoulder
Surgery
01
📸
Advanced ImagingCT scan with 3D reconstruction to map all injured structures and plan implant strategy
02
📋
Surgical PlanningPre-operative templating — implant selection for clavicle plate, scapula fixation and AC hook plate
03
🔩
Clavicle ORIFAnatomical locking plate applied to restore clavicle length, alignment and shoulder width
04
🫛
Scapula FixationReconstruction plate applied to scapula to restore posterior shoulder girdle stability
05
🔗
AC Joint RepairHook plate fixation and coracoclavicular ligament reconstruction to restore AC joint integrity
06
🏋️
RehabilitationStaged physiotherapy — pendulum exercises progressing to full overhead strengthening
📸 Photo Highlights

Shoulder Girdle ORIF — Visual Journey

Hover any strip to pause · Images from the actual case

Outcome

Outcome & Recovery

Excellent Result
💜

"Three shoulder structures damaged in one incident — all restored in a single precise surgical session. Full overhead function. Zero revisions needed."

Following the comprehensive ORIF procedure, all three shoulder girdle structures healed with anatomical alignment. Hardware was well-tolerated with no complications. The patient achieved full overhead shoulder range of motion by 3 months post-operation with zero surgical revisions needed.

🦴

Clavicle Healed

Anatomical alignment maintained

🔗

AC Joint Stable

Hook plate functioning perfectly

💪

Full Overhead Reach

Complete range of motion restored

🏋️

Back to Activity

Patient fully functional at 3 months

👨‍⚕️

Our Medical Team

Shoulder & Upper Limb Specialists
👨‍⚕️

Dr. Veerappan

Chief Orthopaedic & Trauma Surgeon

👨‍⚕️

Dr. Dilip

Senior Anaesthesiologist

👨‍⚕️

Dr. Murugaraj

Chief Physiotherapist

👨‍⚕️

Surgical Team

Dedicated Theatre & Nursing Staff

🦴 Shoulder ORIF · Multi-Structure Fixation

Complex Shoulder.
Precisely Fixed. Fully Restored.

A complex shoulder girdle injury involving clavicle, scapula and AC joint — all addressed in a single surgical session at POSH. Precise ORIF technique, the right implants, and expert rehabilitation led to 100% shoulder function restoration. This is orthopaedic mastery.

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