The “triple dislocation fracture”: anterior shoulder dislocation with concomitant fracture of the glenoid rim, greater tuberosity and coracoid process—a series of six cases

Plachel, Fabian; Schanda, Jakob E.; Ortmaier, Reinhold; Auffarth, Alexander; Resch, Herbert; Bogner, Robert

doi:10.1016/j.jse.2017.01.022

Cited by 25 publications

(28 citation statements)

References 39 publications

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“…This classification takes into account the increasing size/severity of the glenohumeral fracture parts involved. The very rare additional coracoid process fracture, which can occur simultaneously with an anterior glenoid rim fracture and a greater tuberosity fracture, was not seen at our hospital but is described in case reports or case series [40,52] and is subsumed as type 1b.…”

Section: Fracture Classificationmentioning

confidence: 85%

Combined fractures of the humeral head and the glenoid

et al. 2019

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Background. Glenohumeral combination fractures are severe shoulder injuries for which, however, few data are available in the literature. The aim of the study was to analyze the incidence and numeric distribution of glenohumeral combination fractures using a classification system. Furthermore, treatment methods and complications are discussed. Methods. This retrospective study is based on the data evaluation of a level I trauma center between 1998 and 2016. Glenohumeral combination fractures are classified into four types, and the incidence, treatment method, and complications are evaluated. Additionally, the fracture morphology and displacement of the different fracture types are analyzed.

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Section: Fracture Classificationmentioning

confidence: 85%

Combined fractures of the humeral head and the glenoid

et al. 2019

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“…A type II coracoid process fracture can be treated conservatively, but some studies report that a coracoid pseudoarthrosis can occur when there is a concomitant anterior shoulder dislocation [10]. A few cases of shoulder dislocations with a simultaneous fracture of the coracoid process have been previously reported in the literature [11]. Ogawa et al [12,13] classified fractures of the coracoid process into two types based on the coracoclavicular ligaments.…”

Section: Discussionmentioning

confidence: 99%

Concomitant Coracoid Process Fracture with Bony Bankart Lesion Treated with the Latarjet Procedure

Min¹,

Kim²,

Lee³

et al. 2020

Clin Shoulder Elbow

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A Bankart lesion is an injury of the anterior-inferior glenoid labrum of the shoulder due to anterior shoulder dislocation and bony Bankart is a Bankart lesion that includes a fracture of the anterior-inferior glenoid cavity of the scapula bone. A surgeon can consider operative treatment using either internal fixation or the Latarjet procedure when the acute glenoid rim defect is more than 5% in an active patient [1]. We present an appropriate surgical option that is suitable for patients with concomitant coracoid process fracture with bony Bankart lesions in acute traumatic shoulder dislocation. CASE REPORTA 60-year-old man who was employed as a daily construction worker presented to the emergency department with trauma to his Bony lesions of the glenoid and Hill-Sachs lesions are the most common injuries after a first-time traumatic shoulder dislocation. However, fracture of the coracoid process after traumatic shoulder dislocation is rare. A single, open surgical procedure could be performed by a Latarjet procedure using a fractured fragment of the coracoid process. If a fracture of the coracoid process is associated with a traumatic anterior shoulder dislocation, the Latarjet procedure may be the most appropriate surgical option.

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“…Anterior shoulder dislocation is the most common type of shoulder disloction. Due to different combined forces and dislocation directions of the glenohumeral joint, shoulder dislocation is often combined with different injuries, such as GT fractures, glenoid fractures, coracoid process fractures, and rotator cuff tears 19,20 ; however, anterior shoulder dislocations associated with glenoid and GT fractures are rare. To our knowledge, this is the first study to explore the injury mechanism and influencing factors of such injuries based on fracture morphology.…”

Section: Discussionmentioning

confidence: 99%

Injury Mechanism of Acute Anterior Shoulder Dislocation Associated with Glenoid and Greater Tuberosity Fractures: A Study Based on Fracture Morphology

Dai

Xiang

Yang

et al. 2020

Orthopaedic Surgery

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Based on the morphological characteristics of glenoid and greater tuberosity (GT) fractures and the relationship between them, we explored the injury mechanism of acute anterior shoulder dislocation associated with glenoid and GT fractures. Methods: From December 2013 to December 2019, we retrospectively reviewed the clinical data of patients who were diagnosed with acute anterior shoulder dislocation associated with glenoid and GT fractures in our hospital. According to the fracture site, a glenoid fracture group and a greater tuberosity fracture (GT) group were established, and the morphological characteristics of both glenoid and GT fractures were measured and statistically analyzed. Results: A total of 41 patients (43 shoulders) met the inclusion criteria (39 unilateral shoulders and 2 bilateral shoulders). The mean age was 50.21 years (range, 22-71 years). A total of 27 shoulder injuries (62.8%) were split GT fractures and 33 shoulder injuries (76.7%) were combined with rotator cuff tears. The mean size of glenoid fragments was 30.16% and the mean displacement was 8.85 mm. The mean size of GT fragments was 28.43 mm. The mean superoinferior and anteroposterior displacements of the GT fragment were 6.77 mm and 4.96 mm, respectively. There was a negative correlation between the size of glenoid and GT fracture fragments (r = −0.64, P < 0.05). The glenoid fragments in the Ideberg type Ia glenoid fracture group were smaller than those in the Ideberg type II glenoid fracture group (28.41% and 40.95%, respectively), while the size of GT fragments in the type Ia group were larger than those in the type II group (29.77 mm and 20.21 mm, respectively) (P < 0.05). The GT fragments in the split GT fracture group were larger than those in the avulsion or depression GT fracture group (33.69 mm, 19.07 mm and 21.12 mm, respectively), while the size of glenoid fragments in the split GT fracture group were smaller than those in the avulsion or depression GT fracture group (23.57%, 41.37%, and 43.42%, respectively) (P < 0.05). As for the displacement direction of GT fragments, depression fractures were mainly inferior displacements, avulsion fractures were mainly anterosuperior displacements, while split fractures were mainly posteroinferior displacements (P < 0.05). Multiple regression analysis suggested that the type and the fragment size of GT fractures have a significant influence on the size of glenoid fragments. Conclusion: Acute anterior shoulder dislocations associated with glenoid and GT fractures are often combined with rotator cuff tears. There is a negative correlation between the size of glenoid and GT fragments, and split GT fractures are most common. Such injuries are highly correlated to the relative spatial location between the GT and the glenoid when the shoulder dislocates.

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The “triple dislocation fracture”: anterior shoulder dislocation with concomitant fracture of the glenoid rim, greater tuberosity and coracoid process—a series of six cases

Cited by 25 publications

References 39 publications

Combined fractures of the humeral head and the glenoid

Combined fractures of the humeral head and the glenoid

Concomitant Coracoid Process Fracture with Bony Bankart Lesion Treated with the Latarjet Procedure

Injury Mechanism of Acute Anterior Shoulder Dislocation Associated with Glenoid and Greater Tuberosity Fractures: A Study Based on Fracture Morphology

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