Case report of ipsilateral humeral shaft fracture and shoulder dislocation treated by closed reduction followed by intramedullary nailing

Hara, Maya; Ken, Yamazaki

doi:10.1016/j.tcr.2021.100516

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Anterior shoulder dislocation is a common case, but if it is accompanied by an ipsilateral mid-shaft fracture of the humerus, this makes it a rare case. There has been a total of around 30 cases; the first case was reported by Winderman in 1940, and the latest was reported by Hara M and Yamazaki K [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Anterior Shoulder Dislocation With an Ipsilateral Humeral Shaft Fracture: A Case Report

Albaker¹,

Alsaleh²,

Alshammari³

et al. 2023

Cureus

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Anterior shoulder dislocation is the most common type of shoulder dislocation but if accompanied by an ipsilateral humeral shaft fracture, it becomes extremely rare. There was no clear approach for dealing with these cases. We would like to present a case of a 17-year-old medically free male who was brought to the emergency department by ambulance after a road traffic accident. The patient was conscious, alert, and oriented. His Glasgow Coma Scale (GCS) was 15/15. He had multiple bruises all over his body with obvious swelling in his right arm with an inability to move the arm. There was tenderness over the right arm but an intact distal neurovascular exanimation. X-ray and CT scan showed anterior shoulder dislocation with an ipsilateral humeral shaft fracture of the right arm. There is no specific approach for such cases. However, open reduction with an intramedullary nail showed good outcomes with fewer postoperative neurovascular complications.

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Section: Discussionmentioning

confidence: 99%

Anterior Shoulder Dislocation With an Ipsilateral Humeral Shaft Fracture: A Case Report

Albaker¹,

Alsaleh²,

Alshammari³

et al. 2023

Cureus

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“…Many professionals suggest that splinting before reduction could decrease the risk of neurovascular damage during the procedure and improve the range of motion in elderly patients. However, it is important to consider the potential risks of nonunion, contracture, and prolonged treatment duration for young patients when using this approach [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Encounter: Unravelling the Enigma of a Bilateral Humerus Shaft Fracture With a Unique Mode of Injury

Goyal,

Ambade,

Jaiswal

et al. 2023

Cureus

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Humerus bone fractures make up 4-6% of all adult fractures, of which proximal humerus shaft fracture is only six percent. Simultaneous occurrences of bilateral humerus shaft fractures are infrequently encountered in clinical practice. Precise statistics regarding these injuries are lacking, with scant documentation in the existing literature concerning the subject matter. These fractures may arise due to convulsions triggered by incidents like an electric shock, epilepsy, alcohol withdrawal, and hypoglycemia, which typically give rise to sudden and excessive muscular contractions. Such fractures usually coincide with dislocations of the shoulder joint. However, in our case, the bilateral humerus shaft fractures were caused by physical injuries despite the individual remaining conscious throughout the ordeal. We present a clinical scenario wherein a 28-year-old male sustained fractures in both humerus shafts as a consequence of a road traffic collision with a unique mode of injury, i.e., both the arms of the patient hitting the trolley of a stationary truck. Radiographic investigation revealed a mid-arm shaft fracture on the right side and a fracture of the proximal one-third of the humerus shaft on the left side. He was managed with closed reduction and internal fixation with intramedullary (CRIF) nailing on the right side, and open reduction and internal fixation (ORIF) with plate osteosynthesis for the left side were done. So this is a compelling rare case of bilateral humerus shaft fracture following high-velocity trauma with a unique mode of injury, treated operatively with satisfactory results on follow-up.

show abstract

Case report of ipsilateral humeral shaft fracture and shoulder dislocation treated by closed reduction followed by intramedullary nailing

Cited by 2 publications

References 5 publications

Anterior Shoulder Dislocation With an Ipsilateral Humeral Shaft Fracture: A Case Report

Anterior Shoulder Dislocation With an Ipsilateral Humeral Shaft Fracture: A Case Report

A Rare Encounter: Unravelling the Enigma of a Bilateral Humerus Shaft Fracture With a Unique Mode of Injury

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