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When Surgery Helps: Dallas Shoulder Fracture Repair Options

December 18, 2025

A broken shoulder can happen in an instant. One fall, one hard hit, and suddenly you can't move your arm without sharp pain. Whether you're an athlete or someone who simply lost their footing, a Dallas shoulder fracture needs proper care to heal correctly. Many breaks heal without surgery using a sling and physical therapy. But some injuries need surgical repair to restore full function. This guide explains when surgery helps and what repair options are available for patients seeking Dallas shoulder fracture treatment.

Table of Contents

  • Understanding Shoulder Fractures
  • When Surgery Helps: Non-Surgical vs. Surgical Treatment
  • Dallas Shoulder Fracture: Surgical Repair Options
  • Recovery and Rehabilitation After Dallas Shoulder Fracture Treatment
  • Choosing Your Dallas Shoulder Fracture Specialist
  • Frequently Asked Questions
Woman looks down as hand touches shoulder, depicting dallas shoulder fracture discomfort after possible injury

Understanding Shoulder Fractures

Your shoulder includes three bones. The clavicle (collarbone) connects your shoulder blade to your chest. The humerus is your upper arm bone. The scapula is your shoulder blade. A break in any of these counts as a shoulder fracture.

Common types include:

  • Clavicle fractures – Broken collarbones make up about 5% of all adult fractures according to the American Academy of Orthopaedic Surgeons
  • Proximal humerus fractures – Breaks near the shoulder joint, common in older adults with weak bones
  • Scapula fractures – Rare breaks (less than 1% of fractures) usually from major trauma like car accidents

Falls cause most shoulder fractures. Young patients often break bones during sports or vehicle crashes. Older adults may fracture bones from simple falls due to osteoporosis.

Symptoms include:

  • Severe shoulder pain
  • Swelling and bruising
  • Unable to move the arm normally
  • Visible bump or deformity under the skin

If you suspect a break, see a doctor right away. X-rays confirm the injury and help plan treatment.

When Surgery Helps: Non-Surgical vs. Surgical Treatment

Many shoulder fractures heal without surgery. Your doctor may use a sling to keep your arm still while the bone mends naturally. This works well when bone pieces stay close together and properly aligned.

Most clavicle fractures heal in a sling within 6-8 weeks. Nearly all scapula fractures also heal without surgery.

However, surgery helps when:

  • Bone pieces are far apart or badly angled
  • The joint surface is damaged
  • Multiple fragments won't heal on their own
  • The bone broke through the skin
  • Blood vessels or nerves are damaged

A Dallas shoulder fracture specialist will review your images and explain whether surgery gives you a better outcome. Age matters too. Recent research from PLOS Medicine found that patients over 60 with complex fractures often do as well without surgery. The surgical group actually had more problems.

For younger patients and athletes, surgery often makes sense. Proper alignment means better strength and less chance of the bone healing crooked.

Dallas Shoulder Fracture: Surgical Repair Options

Modern orthopedic surgery offers several ways to fix broken shoulder bones. Your shoulder fracture surgeon in Dallas will choose the best method based on your specific injury.

Open Reduction and Internal Fixation (ORIF)

This is the most common surgery for shoulder fractures. The shoulder fracture surgeon in Dallas makes an incision, moves pieces back into proper position, and secures them with metal plates and screws.

ORIF works well for displaced clavicle and humerus fractures. Special locking plates hold broken pieces firmly, even in weak bone. According to a study in the Journal of Clinical Medicine, surgical treatment rates for shoulder fractures rose from 20% in 2001 to over 60% by 2022.

Intramedullary Nailing

For some breaks, surgeons insert a metal rod through the bone's center. This method uses smaller cuts than plate surgery. It works best for fractures that run down the arm bone shaft.

Shoulder Replacement (Arthroplasty)

When the ball of your shoulder joint is shattered, fixing it with plates may not work. Joint replacement might be your best option.

Two types exist:

  • Hemiarthrasty – Replaces the broken ball with a metal implant
  • Reverse shoulder replacement – Switches the ball and socket positions

Reverse replacements have become popular for complex fractures in patients over 65 according to Cureus Journal. They provide reliable pain relief and decent motion for daily tasks.

Which Option Is Best?

Your surgeon considers your age, activity level, and fracture type. Research from JAAOS Global Research shows that surgeons who do many shoulder fracture repairs get better results.

Recovery and Rehabilitation After Dallas Shoulder Fracture Treatment

Healing takes time whether you have surgery or not. Bones typically need several months to fully heal.

Early phase (0-6 weeks):

  • Wear a sling to protect the injury
  • Use ice and pain medicine
  • Do gentle pendulum exercises
  • Keep fingers, wrist, and elbow moving

Active rehab (6 weeks onward):

  • Physical therapy starts when X-rays show healing
  • Work on range of motion first
  • Add strengthening exercises gradually
  • Follow your therapist's schedule closely

Most patients handle daily tasks comfortably by 3 months. Full recovery often takes 6 months to a year. Athletes may need 3-4 months before returning to sports.

Don't rush your recovery. Doing too much too soon risks re-injury. Skipping therapy leads to lasting stiffness and weakness.

Choosing Your Dallas Shoulder Fracture Specialist

Clinician assesses patient’s shoulder in exam room, explaining dallas shoulder fracture evaluation and treatment options

Finding the right doctor matters for your recovery. Look for an orthopedic surgeon who focuses on shoulder injuries. A Dallas shoulder fracture specialist stays current on the latest research and treatment methods.

What to look for:

  • Experience with many shoulder fracture cases
  • Both surgical and non-surgical treatment options
  • On-site or coordinated physical therapy
  • Clear communication about your choices

Ask your doctor about their experience with your specific fracture type. A good specialist explains the pros and cons of each treatment path.

High-volume surgeons tend to get better results according to orthopedic research. This means they've treated many similar cases and know what works best.

Conclusion

Most shoulder fractures heal well with the right treatment approach. Many injuries mend in a sling without surgery. When surgery helps, modern techniques from plates to joint replacements can restore your shoulder function. If you're dealing with a Dallas shoulder fracture, consult an experienced orthopedic specialist who can guide you through the best treatment plan. With expert care and dedicated rehab, you can regain strength and return to normal activities.

Frequently Asked Questions

How long does it take for a shoulder fracture to heal?

Most shoulder fractures need 6-12 weeks for the bone to mend. Full recovery including strength takes 3-6 months depending on the injury severity.

Can all shoulder fractures be treated without surgery?

No, some fractures require surgery for proper healing. Badly displaced breaks, joint surface damage, or multiple bone fragments often need surgical repair for the best outcome.

What is the success rate of shoulder fracture surgery?

Success rates are high when performed by experienced surgeons. Most patients regain good shoulder function with modern surgical techniques.

Will I need physical therapy after a shoulder fracture?

Yes, physical therapy is essential for recovery. It helps restore your range of motion and rebuild strength after the bone heals.

How do I know if I need a shoulder specialist?

Seek a Dallas shoulder fracture specialist if you have a broken shoulder bone. Specialists have more experience treating these injuries than general orthopedic doctors.

Is shoulder replacement common for fractures?

Shoulder replacement for fractures is mainly used in older patients with severely shattered bones. It's less common than plate fixation but very effective when needed.

Ready to get expert care for your shoulder injury? Contact our orthopedic team today for a comprehensive evaluation and personalized Dallas shoulder fracture treatment plan. We'll help you heal properly and get back to the activities you love.

© 2025, John Hibbitts, M.D. All Rights Reserved.