Scapular fracture after electric shock

Rana, Manoj Kumar; Banerjee, R D

doi:10.1308/147870806x95203

Cited by 23 publications

(19 citation statements)

References 3 publications

(5 reference statements)

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“…Scapular fractures are rare injuries and usually caussed by direct high-energy trauma. 1,4 Direct trauma or fall has been reported as the most common cause of scapular fracture secondary to electrical shocks. 5 Fractures of the scapula caused directly by electrical shock are very rare,and bilateral scapular fractures after electrocution are even more rare with only few reported cases.…”

Section: Discussionmentioning

confidence: 99%

“…The posterior fracture dislocation of the shoulder is the most common orthopedic injury after electrical shock. 1,2 Isolated shoulder fracture without dislocation after electrical shock is very rare .Bilateral scapular fractures after electrocution are rare with only few reported cases. 2,3,4 It is postulated that the fractures were the result of tetanic muscular contractions involving the shoulder girdles.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral scapular and humeral head fractures after electric shock：A case report

Ye¹,

Guo²,

Zheng³

2020

Preprint

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Background：Fractures of the scapula caused directly by electrical shock are very rare, and bilateral fractures of scapula and humeral head induced by an electric shock have not been described previously.Case presentation：We report a patient with bilateral fractures of the scapula and humeral head resulting from an accidental electric shock (220 Volt,50 Hz). This appears to be a previously unreported injury.Conculusions：Fracture of the scapula and humeral head secondary to electrical shock should be suspected in patients with shoulder pain but no dislocation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bilateral scapular and humeral head fractures after electric shock：A case report

Ye¹,

Guo²,

Zheng³

2020

Preprint

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“…By an extended search of English-language literature, we found only few case reports about this rare injury. [1][2][3][4][5] The posterior dislocation of the shoulder joint occurs as a result of muscle imbalance during electrical current flow. 1,5 However, the mechanism of the scapular fracture at electrical shock conditions may be varied.…”

Section: E59mentioning

confidence: 99%

Comminuted Scapular Fracture From Electric Injury

Ceylan¹,

Küçükdurmaz²,

Bilsel³

et al. 2013

Journal of Burn Care & Research

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Scapular fracture after electric shock is an extremely rare condition. Acute contraction of muscles generally results in posterior dislocation of the shoulder joint. Scapular fracture without shoulder dislocation is unusual in emergency practice.A 44-year-old electrical technician was admitted to our emergency service after an electrical shock accident while repairing a switch. He had a very disturbing pain at his right shoulder. There were no wounds on his body. Relying on the history, we made a cardiac marker evaluation and cardiac monitorization. All were found to be in normal range. The x-ray showed no signs of proximal humerus fracture nor dislocation of shoulder joint. We suspected irregularity at the scapular body at x-ray. After computed tomographic imaging, comminuted scapular body fracture was diagnosed. There was no intraarticular fracture of glenoid. We preferred conservative treatment with an arm sling for 6 weeks and early physiotherapy. Total recovery took 10 weeks.Electrical shock is a famous cause of posterior shoulder dislocation in general. Isolated scapular fractures after electrical shock is a very rare condition despite shoulder dislocation. By an extended search of English-language literature, we found only few case reports about this rare injury. 1-5 The posterior dislocation of the shoulder joint occurs as a result of muscle imbalance during electrical current flow. 1,5 However, the mechanism of the scapular fracture at electrical shock conditions may be varied. It can be seen following electrical shock when the victim falls, with or without blackout. 4 The physician should conduct a detailed examination. Patients must be observed and examined in a multidisciplinary approach for possible pulmonary injuries, hemothorax and pneumothorax, and monitored for cardiac arrhythmias related to electroshock. Essential radiographic evaluation and additional computed tomographic examination can be helpful for suspicious cases. If the fracture is related to joint surface, different treatment options are involved. Patients with these fractures should be referred to orthopedic physicians to avoid further complications and medico-legal problems. REFERENCES 1. Rana M, Banerjee R. Scapular fracture after electric shock.

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“…DD may invade locally within the palmar aponeurosis of the hand (sparingly supplied with blood vessels). DD does not disseminate to other tissues (Seemayer et al, 1980), but, rather behaves as a benign neoplastic disorder: progressive and irreversible with a high rate of recurrence after surgical excision (current gold standard treatment for DD; Bayat and McGrouther, 2006). The increasing severity and aggressive recurrence may lead to amputation of the affected digit (Shaw et al, 2007).…”

Section: Introductionmentioning

confidence: 99%