Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation

Abstract

Anterior shoulder dislocations are the most common major joint dislocations encountered in the emergency departments and fractures of proximal humerus can accompany with dislocations. Although the treatment of acute isolated traumatic anterior shoulder dislocation is generally simple, the treatment of neglected fracture-dislocations becomes more complicated. In this report, a 22-year-old male patient who had posttraumatic locked, shoulder fracture-dislocation is presented. Open reduction and internal fixation was performed because the injury had occurred 3 weeks ago and the humeral head was locked on the anterior rim of glenoid. At sixth month post-operative follow-up, it was seen that the fracture had united and there was no radiological evidence of avascular necrosis. Neglected, locked anterior fracture-dislocations should be managed thoughtfully by open reduction and internal fixation with consideration of the risk for avascular necrosis.

Keywords

• Neglected, traumatic, locked, shoulder fracture, dislocation

Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation

Abstract

Anterior omuz çıkıkları, acil serviste en sık karşılaşılan ve beraberinde proksimal humerus kırıklarının da eşlik edebildiği eklem çıkıklarıdır. İzole çıkıklar, akut dönemde kapalı yöntemlerle kolayca tedavi edilebilmelerine rağmen, gecikmiş olgularda, beraberinde kırık eşlik ediyorsa tedavi daha zor hale gelmektedir. Bu yazıda, travma sonrası omzunda kilitli, kırıklı-çıkık oluşan 22 yaşındaki hasta sunuldu. Yaralanmanın üzerinde 3 hafta geçmiş olması ve humerus başının glenoidin anterior dudağında kilitlenmiş olmasından dolayı hastaya açık redüksiyon ve plak vida ile internal tespit uygulandı. Altı ay sonra yapılan kontrolünde kırığın kaynadığı ve avasküler nekrozun gelişmediği görüldü. İhmal edilmiş kilitli omuz kırıklı çıkıkları avasküler nekroz riski göz önünde bulundurularak açık redüksiyon ve internal tespit ile tedavi edilmelidir

Keywords

• İhmal edilmiş, travmatik, kilitli, omuz kırıklı çıkık

References

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