Inferior glenohumeral joint dislocation with greater tuberosity avulsion

Abstract

a b s t r a c tInferior glenohumeral dislocation is the least common type of glenohumeral dislocations. It may be associated with fractures of the adjacent bones and neurovascular compromise. It should be treated immediately by close reduction. The associated neuropraxia usually recovers with time. Traction-counter traction method is commonly used for reduction followed by immobilization of the shoulder for three weeks. Here, we report a case of inferior glenohumeral joint dislocation with greater tuberosity fracture with transient neurovascular compromise and present a brief review of the literature.

Atypical presentation of an inferior shoulder dislocation with an engaging Hill-Sachs lesion: A case report

“…Meticulous assessment of neurovascular status is required in any form of shoulder dislocation both pre- and post-reduction. A recent systematic review noted neurological injury after traumatic ISD in 29% of cases, with the axillary nerve most at risk, and vascular injury in 10%, including axillary arterial injury [4] , [5] . Most neurological injuries resolve after reduction or within 1 year [6] , [7] .…”

“…This infrequent injury is often due to high-energy trauma and has the highest incidence of concomitant neurovascular injury of all shoulder dislocations [2] . They are often associated with humerus fractures, rotator cuff tears, in addition to vascular and neurological injuries, which can result in significant functional deficits [2] , [3] , [4] , [5] . Patients will typically present with the arm in a pathognomonic abducted and locked overhead position, also known as Luxatio Erecta.…”

Traumatic Inferior Glenohumeral Dislocation Associated With Rotator Cuff Avulsion Fracture: Arthroscopic-Assisted Fixation: A Technical Note

“…6 Arthroscopy enables a less-invasive reduction of the posterosuperior displaced fracture fragment, evaluation and simultaneous treatment of other lesions such as labral and rotator cuff injuries, and reduced radiation hazard. 2,3 There are some reports of concomitant rotator cuff injuries or labral injuries with isolated rotator cuff avulsion fractures. Arthroscopic techniques allow us to reduce and fix the fracture, and satisfactory early clinical results of this technique have been reported in several studies.…”

“…Immediate closed reduction under intravenous sedation or anesthesia is required to avoid complications. 2 Tractionecountertraction and the 2step maneuver are the most commonly used reduction techniques. After reduction, the shoulder is immobilized for 3 weeks to allow healing of the soft tissues.…”