Intrathoracic shoulder dislocation causing rupture of the right main bronchus

Hayes, Nicholas; White, John; Lillie, P. E.; Bennetts, Jayme; Tu, Chen Gang; Bain, Gregory I.

doi:10.1007/s00402-019-03242-3

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Vascular injuries, including aortic compression and subclavian artery and costal neck trunk injuries, were also reported. Cases of rupture of the main bronchus have also been reported in the literature [24]. In addition to humeral head displacement to the ipsilateral thoracic cavity, there are other special cases, such as 1 case of the humeral head in the retroperitoneal space [33] and 2 cases of movement to the contralateral thoracic cavity [4,5].…”

Section: Discussionmentioning

confidence: 96%

“…Intrathoracic fracture-humeral head dislocation has been rarely reported and requires a combination of high-energy trauma and speci c mechanisms. Enumerating the mechanism of injury, most of which are high-energy injuries.We can review including 18 falls from heigh [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18], 7 motor vehicle accidents [19][20][21][22][23][24][25], and 2 were knocked down by motor vehicles [26,27], 2 cases of falling from standing height [28,29], and 1 case of falling from a bicycle [30].…”

Section: Introductionmentioning

confidence: 99%

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Intrathoracic Fracture-dislocation of the Humeral Head:A Case Report and Review of the Literature

Yang

Lan

et al. 2021

Preprint

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BackgroundIntrathoracic displacement of a humeral head fracture is extremely rare.Only slightly more than 30 cases have been reported. Because few cases have been reported, there is no consensus on how to treat this injury. The etiology, injury mechanism, related lesions and treatment of the injury are diverse.Case presentationA 73-year-old woman presented with multiple fractures of the left ribs, bilateral lung contusions, extensive emphysema of the anterior and posterior chest wall, massive left hemopneumothorax, fracture-dislocation of the proximal humerus and intrathoracic displacement of the humeral head.The patient was sent to the operating room for emergency thoracotomy surgery. The head of the humerus was confirmed to be completely removed from the thoracic cavity during the operation. After discussion with the orthopedic surgeon, the humeral head was discarded considering avascular necrosis, and open reduction and internal fixation were not performed.Three weeks later, the orthopedic surgery team performed reverse shoulder arthroplasty.During follow-up, the patient’s shoulder was free from pain, and its range of movement (ROM) included 110° flexion, 70° abduction, 35° external rotation and 50° internal rotation.ConclusionsIntrathoracic displacement of the humeral head due to proximal humeral fracture is a very rare and serious trauma that requires multidisciplinary treatment. Considering the extremely high risk of humeral head necrosis, actively removing broken bone fragments of the humeral head in the early stage is recommended, and we advocate for shoulder arthroplasty for elderly patients. Detailed preoperative evaluations and individualized operation plans should be made to achieve the best effect.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Intrathoracic Fracture-dislocation of the Humeral Head:A Case Report and Review of the Literature

Yang

Lan

et al. 2021

Preprint

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“…Fractures of the scapula, humeral shaft, elbow, wrist, pelvis, and tibial plateau have also been reported. Vascular injuries, including aortic compression and subclavian artery, as well as costal neck trunk injuries, were also reported in the literature, followed by cases of rupture of the main bronchus (24). In addition to humeral head displacement to the ipsilateral thoracic cavity, there are other special cases, such as humeral head in the retroperitoneal space (n=1) (33) and movement to the contralateral thoracic cavity (n=2) (4,5).…”

Section: Discussionmentioning

confidence: 97%

“…This study investigates a case report of intrathoracic fracture-dislocation of the humeral head. The reviews included falls from height (n=18) (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18), motor vehicle accidents (n=7) (19)(20)(21)(22)(23)(24)(25), knockdown by motor vehicles (n=2) (26,27), falling from standing height (n=2) (28,29), and falling from a bicycle (n=1) (30).…”

Section: Introductionmentioning

confidence: 99%

Intrathoracic fracture-dislocation of the humeral head: A case report and review of the literature

2021

ircmj

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Background: Intrathoracic displacement of a humeral head fracture is extremely rare. Only slightly more than 30 cases have been reported in this regard. Since few cases have been reported, there is no consensus on how to treat this injury. The etiology, injury mechanism, related lesions, and treatment of the injury are diverse. Case presentation: A 73-year-old female presented with multiple fractures of the left ribs, bilateral lung contusions, extensive emphysema of the anterior and posterior chest wall, massive left hemopneumothorax, fracture-dislocation of the proximal humerus, and intrathoracic displacement of the humeral head. The patient was sent to the operating room for emergency thoracotomy surgery. The head of the humerus was confirmed to be completely removed from the thoracic cavity during the operation. After discussion with the orthopedic surgeon, the humeral head was discarded considering avascular necrosis; moreover, open reduction and internal fixation were not performed. The orthopedic surgery team performed reverse shoulder arthroplasty three weeks later. During follow-up, the patient’s shoulder was free from pain, and its range of movement included 110° flexion, 70° abduction, 35° external rotation, and 50° internal rotation. Conclusion: Intrathoracic displacement of the humeral head due to proximal humeral fracture is a very rare and serious trauma that requires multidisciplinary treatment. Considering the extremely high risk of humeral head necrosis, actively removing broken bone fragments of the humeral head in the early stage is recommended, and we advocate for shoulder arthroplasty for elderly patients. Detailed preoperative evaluations and individualized operation plans should be made to achieve the best effect.

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Treatment strategy for severe implosion injuries of the lateral chest wall

Schulz-Drost,

Spering

2024

Unfallchirurgie

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Intrathoracic shoulder dislocation causing rupture of the right main bronchus

Cited by 5 publications

References 15 publications

Intrathoracic Fracture-dislocation of the Humeral Head:A Case Report and Review of the Literature

Intrathoracic Fracture-dislocation of the Humeral Head:A Case Report and Review of the Literature

Intrathoracic fracture-dislocation of the humeral head: A case report and review of the literature

Treatment strategy for severe implosion injuries of the lateral chest wall

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