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

Trauma ◽  
2020 ◽  
pp. 146040862093660
Author(s):  
Mohammad Arshad Ikram ◽  
Velummylum Baladas Premdas ◽  
Mohamad Sallehudin Bin Alias
Keyword(s):  
Closed Reduction ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Clinical Results ◽  
Fracture Dislocation ◽  
Anterior Dislocation ◽  
Rare Entity ◽  
Innovative Method ◽  
K Wires ◽  
Short Time

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.

Anterior proximal humerus fracture dislocation with concomitant glenoid fracture: An operative challenge! A case report

Trauma ◽  
2021 ◽  
pp. 146040862110195
Author(s):  
Dheeraj Attarde ◽  
Atul Patil ◽  
Nilesh Kamat ◽  
Parag Sancheti ◽  
Ashok Shyam
Keyword(s):  
Case Report ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Alternative Pathway ◽  
Humerus Fracture ◽  
Fracture Dislocation ◽  
Anterior Dislocation ◽  
Bony Union ◽  
Glenoid Fracture ◽  
Deltopectoral Approach

Introduction Combined proximal humerus fracture dislocation and glenoid fracture is a rare combination of injuries which presents technical operative challenges. There is little evidence to guide surgical management. Case Report We report a case of a proximal humerus fracture with anterior dislocation and glenoid fracture treated in the same sitting with open reduction and internal fixation with angular stability locking plate and cannulated screw. The surgical technique involved standard deltopectoral approach with coracoid osteotomy. Conclusion By addressing both fractures operatively at the same time, we reported a satisfactory clinical and functional outcome with bony union of the fracture sites without instability at end of 1 year. Coracoid osteotomy may open an alternative pathway to treat complex proximal humerus injuries with ipsilateral glenoid fracture.

scholarly journals Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion – A Case Report

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Anurag Rana ◽  
Sukhmin Singh ◽  
Lakshmana Das ◽  
Nagaraj Manju Moger ◽  
Lakshya Prateek Rathore ◽  
...  
Keyword(s):  
Case Report ◽  
Shoulder Dislocation ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Bankart Lesion ◽  
Humerus Fracture ◽  
Fracture Dislocation ◽  
Anterior Dislocation ◽  
Dash Score ◽  
Anterior Shoulder Dislocation

Introduction: Anterior shoulder dislocation is a common presentation in orthopedic emergency but a bilateral fracture dislocation is a rare entity. Only a few cases have been reported in the literature and their management is still not clear. We present a bilateral four part fracture dislocation with Bankart lesion on right side in a 48 years old. Case Report: A 48-year-old male presented with bilateral proximal humerus fracture with anterior shoulder dislocation following a seizure. He was managed with bilateral PHILOS and Latarjet procedure on right side for a chronic bony Bankart lesion. Superficial infection on left side was managed with debridement. After 1 year period patient had a satisfactory outcome with DASH score of 19.2. Conclusion: Bilateral four part proximal humerus fracture with shoulder dislocation is encountered rarely. Recurrent dislocations results in chronic glenoid bones loss which needs fixation along with fracture. Addressing both sides subsequently or in a single sitting is still debatable. Keywords: Bilateral humerus fracture, anterior dislocation, Bankart repair.

scholarly journals SEVER INFERIOR HUMERAL HEAD SUBLUXATION FOR 3 MONTHS IN PROXIMAL HUMERUS FRACTURE DISLOCATION

2021 ◽  
Vol 9 (08) ◽  
pp. 870-873
Author(s):  
Emad M. Allehyani ◽  
Ahmed K. Alsarhani ◽  
Ahmed Alsyed
Keyword(s):  
Humeral Head ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Axillary Nerve ◽  
Fracture Pattern ◽  
Humerus Fracture ◽  
Fracture Dislocation ◽  
Medical Illness ◽  
Patient Factors

Proximal humerus fracture is common fracture 4-6% of all fractures (1), third most common non vertebral fracture in elderly >65 years (2), affecting female more than males in ratios of 2:1.Approximately half (51%) of these fractures are displaced, the majority of which involve the surgical neck (77%). (3) Surgical treatment (mainly internal fixation or humeral head replacement) is being increasingly used (4).Management of each fracture is dependent of patient factors, fracture pattern, and complexity.Case scenario:33 years old female not known to has any medical illness, presented to the emergency department with right shoulder pain and inability to move it after motor cycle accident. X-rayshowed proximal humerusfracture dislocation Upon Post-operative follow up patient developed sever inferior humeral head subluxation, With intact axillary nerve sensation and motor exam.Discussion:proximal humerus fracture is common, fracture pattern and type, with patient factors will guide your management.proximal humerus fracture dislocation is more difficult and challenging to surgeon in managing such fracture, with inferior hemeral head subluxation is common can reach to 42% in the radiographic incidence among proximal humerus fracture.

scholarly journals Retrospective analysis of Intramedullary K-Wire fixation of Metacarpal Fractures

2021 ◽  
Vol 7 (2) ◽  
pp. 22-27
Author(s):  
Dr. Sunil Kumar Kirar ◽  
◽  
Dr. Sanjay Upadhyay ◽  
Dr. Sanat Singh ◽  
Dr. Atul Varshney ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Kirschner Wire ◽  
Functional Results ◽  
Clinical Results ◽  
Metacarpal Fractures ◽  
Kirschner Wire Fixation ◽  
Metacarpal Bones ◽  
Flexion Extension ◽  
Wire Fixation ◽  
K Wires

Introduction: The majority of fractures of the metacarpal bones occur at a young age.Most of thetimes these metacarpal fractures can be treated conservatively in a POP slab(cock up slab)producing good functional results.Surgery was indicated in patients with palmar dislocation of >30°and shortening of >5 mm.Our study aimed to evaluate the clinical results of all metacarpal fracturestreated surgically by intramedullary Kirschner-wire fixation presented in our hospital.Materials andMethods: It was a retrospective study in which we included 50 patients with metacarpalfractures(both open andclosed) that came in our hospital, treated surgically by closed reduction andwere fixed with two intramedullary k-wires. Result: K-wires were removed after 4 weekspostoperatively,under local anaesthesia in the OPD. Metacarpal joint functions (flexion, extension,rotation) were clinically followed up in all patients, on the median periodof6 months (3 months to 9months). In our study, we found in all patients,flexion and extension were normal on bothsides.Conclusion: Closed reduction and intramedullary k-wire fixation of metacarpal bone fracturesproduce good functional results in the longterm. We found a very low rate of complication and thusrecommendthis surgical method for the stabilization of all these types of fractures.

scholarly journals Skin Entrapment in an Un-displaced Proximal Humerus Fracture Treated with Closed Reduction; A Case Report

2016 ◽  
Vol 10 (1) ◽  
pp. 120-124
Author(s):  
Michael Hughes ◽  
Antonio Frasquet-Garcia ◽  
Mobeen Ismail ◽  
Mohammad Waseem
Keyword(s):  
Closed Reduction ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Rare Complication ◽  
Low Energy ◽  
Humerus Fracture ◽  
Proximal Humerus Fractures ◽  
The United Kingdom ◽  
Literature Searches ◽  
Humerus Fractures

Background: Proximal humerus fractures are a common presentation to Orthopaedic services in the United Kingdom, and the incidence is increasing. Proximal humerus fractures are usually associated with low energy trauma in elderly patients. There is a sub-set of younger patients who suffer low energy fractures due to underlying osteopenia, commonly associated with alcohol excess. Skin puckering or dimpling has been described as a very rare complication of proximal humerus fracture. Based on the few previously published reports of this complication, skin entrapment in proximal humerus fracture is usually predictive of failure of closed reduction, and need for open surgery. Methods: Literature searches were carried out for relevant keywords. Articles were then critically appraised before being included in the literature review. Results: The Authors were only able to identify three previous reports of this rare complication. Conclusion: The authors describe a rare case of skin interposition in an un-displaced proximal humerus fracture, outline a technique for closed reduction, and review the current literature surrounding this rare complication.

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