Simultaneous anterior dislocation of the shoulder and fracture of the ipsilateral humeral shaft

Chen, C.-H.; Lai, Po-Ju; Niu, Chi‐Chien; Chen, Wei-June; Shih, Chun–Hsiung

doi:10.1007/s002640050211

Cited by 16 publications

(9 citation statements)

References 8 publications

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“…The anterior dislocation of the shoulder and fracture of humerus are commonly encountered problems but simultaneous occurrence of them is extremely rare. Most of the reports in the literature are restricted to case reports only by various authors [4,5,6,7] . Flint reported dislocation of the shoulder with three parts proximal humerus fracture and shaft of humerus fracture [8,9] .…”

Section: Discussionmentioning

confidence: 99%

Anterior Shoulder Fracture Dislocation in A Patient With Stiffmans Syndrome and Convulsive Disorder: Rare Case Report

Everisto¹

2019

International Journal of Orthopaedics

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Anterior shoulder fracture dislocation is a challenging case though commonly seen in conjunction with convulsive disorders. No case of stiff-Person Syndrome (SPS) presenting with anterior fracture dislocation is reported in the literature. SPS is estimated to have a prevalence of about one per million with the first known description being attributed to Moersch and Woltman in 1956. The diagnosis and injury patterns of anterior fracture dislocation are more clearly seen on Computed Tomography (CT) Scans which also aids in planning for the surgical management. The treatment outcome after surgical reduction and internal fixation of the fracture with dislocation is associated with excellent functional results.

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Section: Discussionmentioning

confidence: 99%

Anterior Shoulder Fracture Dislocation in A Patient With Stiffmans Syndrome and Convulsive Disorder: Rare Case Report

Everisto¹

2019

International Journal of Orthopaedics

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“…[5] Similarly our patient was also obese and there was no apolet sign seen. [9] A review of literature revealed six reports of ipsilateral dislocation of the shoulder and elbow, and in four of these cases, the dislocation injury was also associated with ipsilateral fractures (Table 1). The brachial plexus and axillary artery lie immediately anterior, inferior, and medial to the gleno-humeral joint.…”

Section: Discussionmentioning

confidence: 99%

IPSILATERAL SIMULTANEOUS SHOULDER AND ELBOW DISLOCATION a case report

et al. 2011

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SUMMARYIpsilateral dislocation of the shoulder and elbow joints is a rare and complex injury. Only six patients have been reported in the international literature with ipsilateral dislocation of the shoulder and elbow. Here, we reported a 48-year-old woman who suffered ipsilateral shoulder and elbow dislocation. The patient first presented to a regional hospital and the radiographs taken following the initial evaluation revealed posterolateral dislocation of right elbow. The reduction of the dislocated elbow was performed at that facility. However, since no radiographic examination of the injured shoulder had been carried out, the dislocation injury of the shoulder was missed. Three days later the patient presented to Tepecik Training and Research Hospital Emergency Department (Izmir-Turkey), complaining of shoulder pain. Radiographs showed the missed anterior dislocation of right shoulder, which had been reduced under general anaesthesia. At final follow-up, 2.5 years later, the elbow and the shoulder were pain free and had full range of motion. Following a high energy trauma in upper extremities, radiographic examination of the shoulder, elbow and wrists must be performed in case of suspicion.

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“…Open reduction of the humeral head was necessary in only 2 of the 17 cases described in the literature of acute dislocation of the shoulder with ipsilateral humeral fracture. 15,16 Also, a variety of fixation methods are then available to treat the humeral shaft fracture. 15,16 In conclusion, given a patient with a chronic anteriorly dislocated shoulder and a healing ipsilateral shaft fracture, an external fixation stabilization of both the fracture and the relocated repaired dislocation is a viable treatment option.…”

Section: Discussionmentioning

confidence: 99%

“…15, 16 We report a case of an initially missed anterior shoulder dislocation associated with an ipsilateral humeral shaft fracture and present the outcome after an open reduction and fixation of the humeral head with a supplementary pin from the external fixator, which was used for the treatment of the diaphyseal fracture.…”

mentioning

confidence: 99%

Unreduced Chronic Dislocation of the Humeral Head With Ipsilateral Humeral Shaft Fracture

Micić

Mitković

Mladenovic

2005

Journal of Orthopaedic Trauma

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The purpose of reporting this case is to illustrate a treatment plan for a chronically anteriorly dislocated shoulder associated with an ipsilateral humerus fracture, a condition heretofore not addressed in the literature to our knowledge. An 18-year-old female, left hand dominant, injured her left upper extremity and liver in a motor vehicle accident. X-rays at time of injury revealed a diaphyseal facture of her left humerus. No x-rays of the shoulder were taken at time of injury. Treatment consisted of a plaster cast application and discharge at 1 week. The patient was seen again 4 weeks postinjury, at which time only humerus films were taken and the immobilization was continued. At 45 days postinjury, the patient complained of left shoulder pain, and shoulder x-rays at that time revealed an anterior subcoracoid dislocation of the left humeral head. At surgery 52 days postinjury, the humeral shaft fracture was found to be unstable and external fixation of both the fracture (2 pins above and below the fracture) and the reduced but still unstable humeral head was performed (a pin through the humeral head into the glenoid). The external fixator was removed at 3 weeks, and at a 3-year follow-up, the patient had acquired nearly full range of motion of her shoulder without pain and no significant limitations of her arm movements or activities. In conclusion, given a patient with a chronic anteriorly dislocated shoulder and a healing ipsilateral shaft fracture, an external fixation stabilization of both the fracture and the relocated repaired dislocation is a viable treatment option.

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Simultaneous anterior dislocation of the shoulder and fracture of the ipsilateral humeral shaft

Cited by 16 publications

References 8 publications

Anterior Shoulder Fracture Dislocation in A Patient With Stiffmans Syndrome and Convulsive Disorder: Rare Case Report

Anterior Shoulder Fracture Dislocation in A Patient With Stiffmans Syndrome and Convulsive Disorder: Rare Case Report

IPSILATERAL SIMULTANEOUS SHOULDER AND ELBOW DISLOCATION a case report

Unreduced Chronic Dislocation of the Humeral Head With Ipsilateral Humeral Shaft Fracture

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