Goss (1993) introduces the superior shoulder suspensory complex (SSSC) — a bony/soft tissue ring plus two bony struts — and defines the concept of 'double disruptions': when two components fail simultaneously, creating an unstable construct prone to poor healing. The paper asks which shoulder injury combinations constitute double disruptions and how that designation should change management.
When evaluating shoulder trauma, systematically assess for double disruptions of the SSSC rather than focusing on individual injuries in isolation. This conceptual approach will help you recognize unstable injury patterns that require surgical intervention.
Goss (1993) introduces the superior shoulder suspensory complex (SSSC) — a bony/soft tissue ring plus two bony struts — and defines the concept of 'double disruptions': when two components fail simultaneously, creating an unstable construct prone to poor healing. The paper asks which shoulder injury combinations constitute double disruptions and how that designation should change management.
When evaluating shoulder trauma, systematically assess for double disruptions of the SSSC rather than focusing on individual injuries in isolation. This conceptual approach will help you recognize unstable injury patterns that require surgical intervention.