A case of posterior shoulder dislocation with ipsilateral humeral shaft fracture (original) (raw)

Anterior Shoulder Dislocation with Concomitant Humeral Shaft and Ipsilateral Distal Humerus Fracture: A Rare Combination

2019

Case Report Introduction: The anterior shoulder dislocation with concomitant humeral shaft and ipsilateral distal humerus fracture is very rare. Since 1940, there has been a total of twenty cases of anterior shoulder dislocation associated with ipsilateral humeral shaft fracture, but its association with ipsilateral distal humerus fracture has not been reported. Case presentation: He is a 34-year-old man with no particular antecedents, who was the victim of a work accident (the fall of a very heavy machine on his left arm). Upon arrival, the patient was in pain with an increase in the volume of the left arm with total functional impotence of the left upper limb. The patient's clinical examination showed associated radial paralysis and a skin opening on the left elbow. The x-ray examination had objectified an anterior shoulder dislocation with concomitant humeral shaft and ipsilateral distal humerus fracture. The patient was treated by percutaneous pinning of the distal humerus f...

Anterior shoulder dislocation and ipsilateral humeral shaft fracture

Iranian journal of medical sciences, 2012

Simultaneous dislocation of shoulder and humeral shaft fracture is a rare injury, and there is no clear protocol for its treatment. Herein we present a case of a 15-year-old boy, who suffered from a job-related accident and sustained fracture of humeral shaft associated with ipsilateral anterior shoulder dislocation and fracture of greater tuberosity 15 years ago. He received closed reduction of both injuries and coaptation plaster splint for four weeks, followed by Sarmiento splint at that time. Fifteen years after the injury, he has no problem related to the previous injury, and does not experience any episode of shoulder instability.

Case report and literature review anterior shoulder dislocation with three-part proximal humerus fracture and humeral shaft fracture

The Iowa orthopaedic journal, 2009

Dislocation of the shoulder and proximal humerus fracture with coexistent humeral shaft fracture is a rare injury reported in literature. There have been a total of 20 cases reported in the literature since 19401-13 (see Table 1). These injuries often occur as a result of high velocity trauma and most have been treated, at least partially, with invasive or operative management. We present the case of a woman with an anterior dislocation, three-part proximal humerus fracture and concomitant humerus shaft fracture and discuss her non-invasive treatment.

Bilateral anterior dislocation of the shoulders with proximal humeral fractures: a case report

Journal of orthopaedic surgery (Hong Kong), 2005

Bilateral simultaneous anterior dislocation of the shoulders with bilateral 3-part fracture of the proximal humeri is unusual. A 42-year-old man presented with pain and restriction of movement on both shoulders. He was injured by a heavy object falling over his back while he was leaning forward holding an overhead bar. His arms were abducted and externally rotated. The injury was not correctly diagnosed, and the patient was treated with repeated manipulations and splintage for 2 weeks. Radiological examination revealed bilateral anterior dislocation of the shoulders with displaced 3-part fractures of the proximal humeri involving the shaft, greater tuberosity, and head. The patient was treated with open reduction and internal fixation through a deltopectoral approach using multiple Kirschner wires. The shoulders were kept immobilised for 3 weeks until the removal of the wires. The patient was able to resume work 3 months after surgery. He had an excellent and comfortable range of mo...

Mechanism of injury and management in traumatic anterior shoulder dislocation with concomitant humeral shaft and ipsilateral scapula fracture: a case report and review of the literature

Journal of medical case reports, 2014

Traumatic anterior dislocation of the shoulder is an emergency and warrants urgent attention. However, it becomes difficult to manage in cases of associated fractures of humerus and other bones surrounding the shoulder joint. There have been reports of traumatic anterior dislocation of the shoulder associated with humeral fractures in the literature but the trilogy of anterior dislocation of the shoulder; humeral shaft fracture; and scapular fracture have never been described. We present the case of a 27-year-old south Asian man presenting with the above-mentioned injury. He was managed with open reduction and internal fixation of the fracture and subsequent reduction at the shoulder joint. The fracture of the scapula was managed conservatively. Radiological union was achieved at 14 weeks with a good range of movements at the shoulder. Shoulder dislocation associated with fractures of humerus and scapula occurs in rare circumstances due the peculiar mechanism of injury. There is ris...

Humeral head impression fracture in acute posterior shoulder dislocation: new surgical technique

Knee Surgery, Sports Traumatology, Arthroscopy, 2006

Posterior shoulder dislocation with humeral head impression fracture is rare and its early diagnosis and treatment remain a challenge for the orthopaedic surgeon. Although literature describes several surgical options, most are based on the detachment of the subscapularis or on more complex techniques that change the humeral joint anatomy even more. This report describes a new operative technique that is only slightly invasive, where the depressed chondral surface is raised to regain a normal articular contour. The chondral surface is supported by an interference biabsorbable screw and the insertion of the subscapularis tendon is left intact. Two male patients with an acute shoulder posterior dislocation associated with anteromedial impression fracture of about 40 and 50%, respectively, of the articular humeral shape were treated in our department. The average follow-up was 26 months where plain X-ray and CT scan showed an anatomical humeral surface free from signs of arthritis or necrosis. Functional results were excellent in both cases. This new technique is easy, less invasive than others and ensures a stable cartilage and subchondral support without the use of grafts.