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Posterior dislocation of the shoulder associated with fracture of the humeral anatomical neck with 11-year follow-up after early open reduction and internal fixation

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Abstract

Background

The combination of posterior dislocation and fracture of the anatomical neck represents an extremely rare injury.

Methods

A patient with posterior dislocation of the shoulder and ipsilateral fracture of the humeral anatomical neck was treated with open reduction and internal fixation with two Kirschner wires. He was followed up for 11 years.

Results

The functional results were excellent, and X-ray and MRI investigations revealed the absence of avascular necrosis of the humeral head.

Conclusion

Early and accurate open reduction with minimal osteosynthesis resulted in excellent function of the injured shoulder without avascular necrosis.

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References

  1. Wilson JC (1949) Traumatic posterior dislocation of the humerus. J Bone Joint Surg Am 31:160–172

    Google Scholar 

  2. Mclaughlin HL (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 34:584–590

    Google Scholar 

  3. Rowe CR (1956) Prognosis in dislocation of the shoulder. J Bone Joint Surg Am 38:957–977

    Google Scholar 

  4. Neer CS (1984) Fractures about the shoulder. In: Rockwood CA, Green DB (eds) Fractures in adults. Lippincott, Philadelphia, pp 675–721

  5. Galanakis IA, Kontakis GM, Steriopoulos KA (1997) Posterior dislocation of the shoulder associated with fracture of the humeral anatomical neck. J Trauma 42:1176–1178

    CAS  PubMed  Google Scholar 

  6. Kaar TK, Wirth MA, Rockwood CA (1999) Missed posterior-dislocation of the humeral head. J Bone Joint Surg Am 81:708–710

    CAS  PubMed  Google Scholar 

  7. Yamanaka K, Matsumoto T (1994) The joint side tear of the rotator cuff: a follow-up study by arthrography. Clin Orthop 304:68–73

    PubMed  Google Scholar 

  8. Hawkins RJ, Neer CS II, Pianta RM, Mentoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69:9–18

    CAS  PubMed  Google Scholar 

  9. Norris TR (1992) Fractures of the proximal humerus and dislocations of the shoulder. In: Browner BD, Jupiter JB, Levine AM, Trafton PG (eds) Skeletal trauma. Saunders, Philadelphia, pp 1201–1290

  10. Lee CK, Hansen HR (1981) Post-traumatic avascular necrosis of the humeral head in displaced proximal humeral fracture. J Trauma 21:788–791

    CAS  PubMed  Google Scholar 

  11. Neer CS (1970) Dislocation proximal humeral fracture. Part 1: Classification and evaluation. J Bone Joint Surg Am 52:1077–1089

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kumamoto University School of Medicine, 1-1-1 Honjo, 860-8556, Kumamoto, Japan

    Junji Ide & Katsumasa Takagi

  2. Department of Orthopaedic Surgery, Kumamoto Red Cross Hospital, Kumamoto, Japan

    Kazuhiro Honda

Authors
  1. Junji Ide
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  2. Kazuhiro Honda
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  3. Katsumasa Takagi
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Corresponding author

Correspondence to Junji Ide.

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Ide, J., Honda, K. & Takagi, K. Posterior dislocation of the shoulder associated with fracture of the humeral anatomical neck with 11-year follow-up after early open reduction and internal fixation. Arch Orthop Trauma Surg 123, 118–120 (2003). https://doi.org/10.1007/s00402-003-0480-5

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  • DOI: https://doi.org/10.1007/s00402-003-0480-5

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