CHARACTERISTICS OF PATIENTS WITH FRACTURES AROUND THE SHOULDER IN THE EMERGENCY DEPARTMENT OF PROF. DR. I.G.N.G. NGOERAH GENERAL HOSPITAL

Abstrak

Background: Fractures around the shoulder are common musculoskeletal injuries in the Emergency Department (ED) and can cause significant morbidity. Local data from tertiary referral hospitals in Indonesia remain limited. This study aimed to describe the characteristics of patients with fractures around the shoulder in the ED of Prof. Dr. I.G.N.G. Ngoerah General Hospital.
Methods: This was a retrospective descriptive observational study using secondary data from the medical records of patients treated between 1 December 2024 and 30 November 2025. Total sampling was applied, and the data were analysed descriptively using SPSS.
Results: A total of 238 patients were included. Most patients were of productive age (15–64 years; n = 194, 81.5%) and male (n = 147, 61.8%). The clavicle was the most frequently fractured bone (53.9%), followed by the humerus (38.2%) and the scapula (7.9%). Most fractures were closed (97.5%), and traffic accidents were the leading cause (77.7%). Single fractures accounted for 90.3% of cases. The most common procedure was open reduction and internal fixation (ORIF) with plate and screws (75.6%).
Conclusion: Fractures around the shoulder in this ED mostly affected male patients of productive age and were commonly caused by high-energy trauma such as traffic accidents, with the clavicle as the most frequent site. ORIF was the main treatment. These findings emphasise the importance of adequate resource readiness in the ED for shoulder trauma.
Keywords: fractures around the shoulder, emergency department, ORIF, traffic accidents, clavicle, humerus, scapula