Is surgery the only treatment for shattered shoulder?

In some cases, non-surgical treatments may be an option for managing shattered shoulder or complex proximal humerus fractures. The approach primarily depends on the precise nature and complexity of the fracture pattern. Here are non-surgical options that may be considered:

1. Immobilization: Depending on the fracture's stability, arm sling or cast immobilization may be recommended. This allows the bones to heal gradually and reduces the risk of further displacement.

2. Closed Reduction and Casting: In certain cases, gentle manipulation (reduction) of the fractured bones may be performed to bring them into proper alignment. This can be followed by applying a cast to stabilize the shoulder and promote healing.

3. Percutaneous Pinning: For less complex fractures or those with minimal displacement, percutaneous pinning may be an option. This procedure involves the use of pins inserted through the skin to hold the fractured bones in the correct position, enabling alignment and healing.

4. External Fixation: For more complex fractures with significant displacement, an external fixator device can be used. External fixation involves attaching metal pins to the bone on either side of the fracture and connecting them by external rods to hold the bones in the proper position.

5. Physiotherapy and Rehabilitation: Following these non-surgical treatments, physiotherapy plays a crucial role in restoring shoulder function. This may include range-of-motion exercises, strengthening programs, and functional activities to regain mobility, flexibility, and strength in the affected shoulder.

Please note that the decision between surgical and non-surgical approaches for shattered shoulder is complex. An orthopedic surgeon will assess the specific details of your condition, discuss the potential treatment options, and recommend the most appropriate course of action based on their evaluation.