Fracture-dislocation of the shoulder with intrathoracic displacement of the humeral head

Kaar, T. K.; Rice, John Jeremy; Mullan, G.B.

doi:10.1016/0020-1383(95)00120-x

Cited by 23 publications

(17 citation statements)

References 4 publications

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“…Two case reports of patients aged 74 and 79 years, respectively, document the use of immobilisation and early rehabilitation without removal of the humeral head fragment, as the patients were unfit for surgery. 3,5 Despite loss of shoulder mobility, their activities of daily living were not affected and they had no intrathoracic complications.…”

Section: Discussionmentioning

confidence: 99%

“…Only a few such cases have been reported. Of these patients, 5 were older than 60 (mean, 72; range, 65-79) years, and the injury mechanism was falling down stairs [1][2][3][4][5] ; another 5 were younger than 60 (mean, 38; range, 18-58) years, and the injury mechanism was high-energy trauma (motor vehicle accidents) and a fall from a horse. [6][7][8][9][10] There are also reports of displacement of the humeral head into the contralateral hemithorax 11 and the retroperitoneal space, 12 and intrathoracic dislocation of the proximal humerus, with avulsion of a large fragment from the greater tuberosity.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intrathoracic Fracture-Dislocation of the Humeral Head: A Case Report

Abellan

Melendreras

Gimenez

et al. 2010

J Orthop Surg (Hong Kong)

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Fracture-dislocation of the humeral head into the thoracic cavity is a rare injury. We present one such case in a 70-year-old woman. She presented with a 4-part fracture-dislocation of the proximal humerus, with displacement of the humeral head into the thoracic cavity. She had no signs of acute distress or hemodynamic instability. She underwent hemiarthroplasty of the right shoulder, but the humeral head fragment could not be removed. At 27-month follow-up, the patient had limited mobility of her right shoulder due to axillary nerve palsy but no pain or intrathoracic complications. In the absence of intrathoracic complications, the removal of the humeral head may not be necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intrathoracic Fracture-Dislocation of the Humeral Head: A Case Report

Abellan

Melendreras

Gimenez

et al. 2010

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

show abstract

“…Thus, the removal of the humeral head may not be necessary. Kaar et al [7] also reported a case in which the humeral head fragment was not removed from the intrathoracic space. However, some authors recommend that the humeral head should always be removed.…”

Section: Discussionmentioning

confidence: 99%

Intrathoracic dislocation of the humeral head accompanied by polytrauma: How to treat it ?

Chen

Jin

Wang

et al. 2015

Ulus Travma Acil Cerrahi Derg

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High-energy trauma to the shoulder is associated with multiple injuries and is often difficult to evaluate. One of these complex traumas is the displacement of the humeral head into the thoracic cavity. This study aimed to report a patient who presented after falling three floors. Initially, the patient underwent chest drainage and thoracoscopy to remove the displaced humeral head and, subsequently, underwent delayed artificial humeral head replacement. Hemodynamic stability, systematic evaluation, removal of the humeral head, and individual shoulder reconstruction are recommended for these patients.

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“…Rarely the dislocated fragment migrates into the ipsilateral hemithorax and may be associated with single or multiple rib fractures [1][2][3][4][5][6]. Associated pneumothorax or haemothorax occurred in some cases [2][3][4].…”

Section: Case Reportmentioning

confidence: 99%