Posterior shoulder dislocation associated with proximal humeral comminuted fracture

Chang, Chun-Chien; Pao, Jwo-Luen; Chang, Chih-Hung

doi:10.1016/j.fjmd.2012.03.007

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…The causes for these types of injuries are forced MR, flexion, and adduction of the shoulder joint. 7 In 2012, O’Neil et al 11 reported that 50% of all cases are caused by seizures, 45% by trauma, and less than 5% by electric shock.…”

Section: Discussionmentioning

confidence: 99%

“…Posterior fracture-dislocation of the shoulder (PFDS) is an uncommon orthopedic entity, 5 , 6 , 7 , 8 , 9 , 10 and bilateral PFDS is even rarer, initially described by Mynther in 1902. 5 , 11 , 12 The most frequent causes described in the literature are epilepsy, extreme trauma, and electric shock, hence it is known as triple E syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Posterior four-part fracture-dislocations of the proximal humerus: clinical and functional evaluation of osteosynthesis treatment

Oliveira

Graça

Fanelli

2018

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate patients diagnosed with posterior four-part fracture-dislocations of the proximal humerus, that were surgically treated with osteosynthesis, regarding their clinical and functional outcomes.MethodsA prospective observational study of eight patients from the same hospital institution in the interior of São Paulo State (Brazil), through individual interviews using the UCLA, DASH, and Constant international scores. The active movements included in the scores plus the range of motion of the affected and non-affected limb were measured. The affected shoulder's radiographs were requested to verify bone conditions and the fixation of the osteosynthesis.ResultsThe rating of eight patients by the international scores indicated that seven of the eight patients presented good clinical and functional evolution of the affected limb; this represents 87.5% of the evaluated individuals.ConclusionSurgical treatment with osteosynthesis performed during the acute period (

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Posterior four-part fracture-dislocations of the proximal humerus: clinical and functional evaluation of osteosynthesis treatment

Oliveira

Graça

Fanelli

2018

Revista Brasileira de Ortopedia (English Edition)

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Fraturas‐luxações posteriores do úmero proximal em quatro partes: avaliação clínico‐funcional do tratamento por osteossíntese

Oliveira

Graça

Fanelli³

2018

Revista Brasileira de Ortopedia

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The aetiology of posterior glenohumeral dislocations and occurrence of associated injuries

Holton

Cassar-Gheiti

Hanna

et al. 2019

The Bone & Joint Journal

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Aims The glenohumeral joint is the most frequently dislocated articulation, but possibly due to the lower prevalence of posterior shoulder dislocations, approximately 50% to 79% of posterior glenohumeral dislocations are missed at initial presentation. The aim of this study was to systematically evaluate the most recent evidence involving the aetiology of posterior glenohumeral dislocations, as well as the diagnosis and treatment. Materials and Methods A systematic search was conducted using PubMed (MEDLINE), Web of Science, Embase, and Cochrane (January 1997 to September 2017), with references from articles also evaluated. Studies reporting patients who experienced an acute posterior glenohumeral joint subluxation and/or dislocation, as well as the aetiology of posterior glenohumeral dislocations, were included. Results A total of 54 studies met the inclusion criteria. In total, 182 patients were included in this analysis; study sizes ranged from one to 66 patients, with a mean age of 44.2 years (sd 13.7). There was a higher proportion of male patients. In all, 216 shoulders were included with 148 unilateral injuries and 34 bilateral. Seizures were implicated in 38% of patients (n = 69), with falls, road traffic accidents, electric shock, and iatrogenic reasons also described. Time to diagnosis varied across studies from immediate up to a delay of 25 years. Multiple associated injuries are described. Conclusion This review provides an up-to-date insight into the aetiology of posterior shoulder dislocations. Our results showed that seizures were most commonly implicated. Overall, reduction was achieved via open means in the majority of shoulders. We also found that delayed diagnosis is common.

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Posterior shoulder dislocation associated with proximal humeral comminuted fracture

Cited by 3 publications

References 11 publications

Posterior four-part fracture-dislocations of the proximal humerus: clinical and functional evaluation of osteosynthesis treatment

Posterior four-part fracture-dislocations of the proximal humerus: clinical and functional evaluation of osteosynthesis treatment

Fraturas‐luxações posteriores do úmero proximal em quatro partes: avaliação clínico‐funcional do tratamento por osteossíntese

The aetiology of posterior glenohumeral dislocations and occurrence of associated injuries

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