A Case Report of Posterior Shoulder Dislocation with Greater Tuberosity Fracture
Keywords:
Posterior shoulder dislocation, greater tuberosity, case reportAbstract
Purpose: Posterior shoulder dislocation with fracture of greater tuberosity of the humerus is extremely rare. Therefore, the best prescribed treatment for it has not yet been established.
Methods: A 45-year-old male, the victim of motorcycle accident, presented with shoulder injury and deformity. Post injury radiographs demonstrated a posterior shoulder dislocation and hollow glenoid with bony fragments. Computed tomographic findings revealed a posterior shoulder dislocation with fracture of greater tuberosity of the humerus. A closed reduction procedure was successfully performed under general anesthesia.
Results: Anatomical reduction of shoulder joint and greater tuberosity fragment was achieved with good joint stability.
Conclusion: Closed reduction under general anesthesia is an effective treatment for posterior dislocation with fracture of greater tuberosity.
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References
Detenbeck LC. Posterior dislocations of the shoulder. J Trauma 1972; 12: 183-92.
Matsen FA, Lippit SB, Bertlesen A, Rockowood AC, Wirth MA, Titelman RM. Glenohumeral instability. In: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, editors. The Shoulder. 3rd ed. Vol. 2. Philadelphia: Saunders; 2004. pp. 655-794.
Mimura T, Mori K, Matsusue Y, Tanaka N, Nishi Y, Kobayashi M. Closed reduction for traumatic posterior dislocation of the shoulder using the 'lever principle': two case reports and a review of the literature. J Orthop Surg (Hong Kong) 2006; 14: 336-9.
Rouleau DM, Hebert-Davies J. Incidence of associated injury in posterior shoulder dislocation: systematic review of the literature. J Orthop Trauma 2012; 26: 246-51.
Reddy VRM. Posterior shoulder dislocation associated with acromion fracture. Eur J Orthop Surg Traumatol 2009; 19: 333-6
Nakae H, Endo S. Traumatic posterior dislocation of the shoulder with fracture of the acromion in a child. Arch Orthop Trauma Surg 1996; 115: 238-9
Goodrich JA, Crosland E, Pye J. Acromion fracture associated with posterior shoulder dislocation. J Orthop Trauma 1998; 12: 521-3.
Perron AD, Jones RL. Posterior shoulder dislocation: avoiding a missed diagnosis. Am J Emerg Med 2000; 18: 189-91.
Galanakis IA, Kontakis GM, Steriopoulos KA. Posterior dislocation of the shoulder associated with fracture of humeral anatomic neck. J Trauma 1997; 42: 1176-8.
Li HH, Liu SQ, Peng H. A neglected posterior fracture dislocation of the shoulder with ipsilateral distal humeral shaft fracture. J Emerg Med 2011; 41: 154-6.
Bloom MH, Obata WG. Diagnosis of posterior dislocation of the shoulder with use of Velpeau axillary and angle-up roentgenographic views. J Bone Joint Surg Am 1967; 49: 943-9.
Arndt JH, Sears AD. Posterior dislocation of the shoulder. Am J Roentgenol Radium Ther Nucl Med 1965; 94: 639-45.
Cisternino SJ, Rogers LF, Stufflebam BC, Kruglik GD. The trough line: a radiographic sign of the posterior shoulder dislocation. AJR Am J Roentgenol 1978; 130: 951-4.
Cicak N. Posterior dislocation of the shoulder. J Bone Joint Surg Br 2004; 86: 324-32.
Richards RH, Clarke NM. Locked posterior fracture-dislocation of the shoulder. Injury 1989; 20: 297-300.
Ogawa K, OgawaY, Yoshida A. Posterior fracture-dislocation of the shoulder with infraspinatus interposition: the buttonhole phenomenon. J Trauma. 1997; 43: 688-91.
Robinson CM, Akhtar A, Mitchell M, Beavis C. Complex posterior fracture-dislocation of the shoulder. Epidemiology, injury patterns, and results of operative treatment. J Bone Joint Surg Am 2007; 89: 1454-66.
Hawkins RJ, Belle RM. Posterior instability of the shoulder. Instr Course Lect 1989; 38: 211-5.
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