Traumatic shoulder fracture-dislocation in a child: An innovative method of closed reduction

Abstract

<jats:p> Traumatic shoulder dislocation with proximal humerus fracture is a rare entity among children and treatment is always challenging. We present the case of a child with anterior dislocation of the shoulder associated with complete displaced proximal humerus metaphysis fracture. The fracture was treated by closed reduction using an innovative joystick technique and then fixation by two intramedullary K-wires. The dislocation was easily reduced after the fixation of the fracture. This method of treatment enables us to achieve excellent radiological and clinical results in a short time. </jats:p>

Management of traumatic fracture–dislocation of the shoulder in children: A systematic review of published case reports

“…Azevedo, 7 Joghun, 9 Jin 10 and Omari 22 treated shoulder fracture–dislocation by open reduction with fixation as they failed to achieve reduction. Fannouch 19 and Ikram 20 managed to achieve anatomical reduction of the fracture as well as dislocation by closed method using intramedullary fixation technique as described by Metaizeau in 1976. 25 There was no statistical difference in terms of radiological union and return of full function after closed or open reduction for fracture–dislocation of the shoulder without epiphyseal involvement in children.…”