BibTex RIS Kaynak Göster

Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation

Yıl 2015, Cilt: 12 Sayı: 1, - , 27.04.2015
https://doi.org/10.15197/sabad.1.12.12

Öz

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.

Kaynakça

  • Abdelhady AM. Neglected anterior shoulder dislocation: open remplissage of the Hill-Sachs lesion with the infra- spinatus tendon. Acta Orthop Belg 2010; 76:162-5.
  • Robinson CM, Shur N, Sharpe T, Ray A, Murray IR. Injuries associated with traumatic anterior glenohumeral disloca- tions. J Bone Joint Surg Am 2012; 94:18-26.
  • Checchia SL, Santos PD, Miyazaki AN. Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J Shoulder Elbow Surg 1998 ;7:53-65.
  • Chalidis BE, Papadopoulos PP, Dimitriou CG. Reconstruction of a missed posterior locked shoulder fracture-dislocation with bone graft and lesser tuberosity transfer: a case re- port. J Med Case Rep 2008 ;2:260.
  • Dodds SD, Medvecky MJ. Chronic bilateral locked anterior shoulder fracture-dislocations. Am J Orthop (Belle Mead NJ) 2008 ;37:364-8.
  • Thomas DP, Graham GP. Missed bilateral anterior fracture dislocations of the shoulder. Injury 1996 ;27:661-2.

Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation

Yıl 2015, Cilt: 12 Sayı: 1, - , 27.04.2015
https://doi.org/10.15197/sabad.1.12.12

Öz

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

Kaynakça

  • Abdelhady AM. Neglected anterior shoulder dislocation: open remplissage of the Hill-Sachs lesion with the infra- spinatus tendon. Acta Orthop Belg 2010; 76:162-5.
  • Robinson CM, Shur N, Sharpe T, Ray A, Murray IR. Injuries associated with traumatic anterior glenohumeral disloca- tions. J Bone Joint Surg Am 2012; 94:18-26.
  • Checchia SL, Santos PD, Miyazaki AN. Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J Shoulder Elbow Surg 1998 ;7:53-65.
  • Chalidis BE, Papadopoulos PP, Dimitriou CG. Reconstruction of a missed posterior locked shoulder fracture-dislocation with bone graft and lesser tuberosity transfer: a case re- port. J Med Case Rep 2008 ;2:260.
  • Dodds SD, Medvecky MJ. Chronic bilateral locked anterior shoulder fracture-dislocations. Am J Orthop (Belle Mead NJ) 2008 ;37:364-8.
  • Thomas DP, Graham GP. Missed bilateral anterior fracture dislocations of the shoulder. Injury 1996 ;27:661-2.
Toplam 6 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Olgu Sunumu
Yazarlar

Mehmet Serhan Er Bu kişi benim

Mehmet Eroglu Bu kişi benim

Recep Abdullah Erten Bu kişi benim

Hasan Metineren Bu kişi benim

Levent Altinel Bu kişi benim

Yayımlanma Tarihi 27 Nisan 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 12 Sayı: 1

Kaynak Göster

APA Er, M. S., Eroglu, M., Erten, R. A., Metineren, H., vd. (2015). Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation. European Journal of General Medicine, 12(1). https://doi.org/10.15197/sabad.1.12.12
AMA Er MS, Eroglu M, Erten RA, Metineren H, Altinel L. Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation. European Journal of General Medicine. Mart 2015;12(1). doi:10.15197/sabad.1.12.12
Chicago Er, Mehmet Serhan, Mehmet Eroglu, Recep Abdullah Erten, Hasan Metineren, ve Levent Altinel. “Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation”. European Journal of General Medicine 12, sy. 1 (Mart 2015). https://doi.org/10.15197/sabad.1.12.12.
EndNote Er MS, Eroglu M, Erten RA, Metineren H, Altinel L (01 Mart 2015) Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation. European Journal of General Medicine 12 1
IEEE M. S. Er, M. Eroglu, R. A. Erten, H. Metineren, ve L. Altinel, “Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation”, European Journal of General Medicine, c. 12, sy. 1, 2015, doi: 10.15197/sabad.1.12.12.
ISNAD Er, Mehmet Serhan vd. “Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation”. European Journal of General Medicine 12/1 (Mart 2015). https://doi.org/10.15197/sabad.1.12.12.
JAMA Er MS, Eroglu M, Erten RA, Metineren H, Altinel L. Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation. European Journal of General Medicine. 2015;12. doi:10.15197/sabad.1.12.12.
MLA Er, Mehmet Serhan vd. “Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation”. European Journal of General Medicine, c. 12, sy. 1, 2015, doi:10.15197/sabad.1.12.12.
Vancouver Er MS, Eroglu M, Erten RA, Metineren H, Altinel L. Neglected Traumatic Locked Anterior Shoulder Fracture-Dislocation. European Journal of General Medicine. 2015;12(1).