Anterior Dislocation of the Shoulder and Ipsilateral Fracture of the Humeral Shaft: A Case Report

L. Yang, Y. Chien, Hsueh-Che Lu
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Abstract

A combination of anterior dislocation of the shoulder with fracture of the ipsilateral humeral shaft fracture is very rare, and only cases were reported. Prompt diagnosis and reduction of the shoulder dislocation should be done as soon as possible. However, the coexistent ipsilateral humeral shaft fracture often makes closed reduction unsuccessful. We present a case of shoulder anterior dislocation and greater tubercle avulsion fracture with concomitant ipsilateral humeral shaft fracture. Closed reduction for shoulder dislocation was successful by applying traction force directly to the proximal humeral fracture end while open reduction and internal fixation for humeral shaft fracture was carried out. The fracture healed at 6th month postoperatively. One year later, the patient returned to labor work with full range of motion the shoulder joint.
肩前脱位伴同侧肱骨干骨折1例报告
肩关节前脱位合并同侧肱骨干骨折是非常罕见的,仅有病例报道。应尽快诊断和复位肩关节脱位。然而,同侧肱骨干骨折常使闭合复位不成功。我们报告一例肩前脱位及大结节撕脱性骨折合并同侧肱骨干骨折。对肱骨近端骨折端直接施加牵引力闭式复位治疗肩关节脱位成功,同时对肱骨干骨折进行开放复位内固定治疗。术后6个月骨折愈合。一年后,患者恢复劳动,肩关节活动范围全。
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