Cases of Missed Posterior Fracture-Dislocation of the Shoulder
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Abstract
Proximal humerus fracture-dislocation is a rare condition that occurs mostly in young adults due to high energy trauma and about 60-79% of misdiagnosis occurred in the first diagnosis. In this article, we present two patients with proximal Humerus fracture-posterior dislocation whom their fractures have been diagnosed but even though after radiographic studies including x-ray and CT scan the posterior dislocation has been misdiagnosed. Also, complications, management, and avoidance of this misdiagnosis have been discussed.
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2. Carofino BC, Leopold SS. Classifications in brief: The Neer classification for proximal humerus fractures. Clin Orthop Relat Res. 2013;471(1):39-43. doi: 10.1007/s11999-012-2454-9. [PubMed: 22752734]. [PubMed Central: PMC3528923].
3. Singh AP. Proximal humerus fractures [Online]. [cited 2010]; Available from: URL: https://boneandspine.com/proximal-humerus-fracture
4. Court-Brown CM, Caesar B. Epidemiology of adult fractures: A
review. Injury. 2006;37(8):691-7. doi: 10.1016/j.injury.2006.04.130.
[PubMed: 16814787].
5. Kokkalis ZT, Iliopoulos ID, Antoniou G, Antoniadou T, Mavrogenis AF, Panagiotopoulos E. Posterior shoulder fracture-dislocation: An update with treatment algorithm. Eur J Orthop Surg Traumatol. 2017;27(3):285-94. doi: 10.1007/s00590-016-1840-5. [PubMed: 27562590].
6. Cooke SJ, Hackney RG. Bilateral posterior four-part fracture dislocations of the shoulders following electric shock: A case report and literature review. Injury Extra.
2005;36(4):90-5.
7. Guehring M, Lambert S, Stoeckle U, Ziegler P. Posterior shoulder dislocation with associated reverse Hill-Sachs lesion: Treatment options and functional outcome after a 5-year follow up. BMC Musculoskelet Disord. 2017;18(1):442. doi: 10.1186/s12891-017-1808-6. [PubMed: 29132328]. [PubMed Central: PMC5683370].
8. Konda SR, Fisher N, Gage M, Egol KA. Posterior fracture dislocation of the shoulder: A Modified McLaughlin Procedure. J Orthop Trauma. 2017;31(Suppl 3):S36-S37. doi: 10.1097/BOT.0000000000000900. [PubMed: 28697084].
9. Tyson S, Hatem SF. Easily missed fractures of the upper extremity. Radiol Clin North Am. 2015;53(4):717-36, viii. doi: 10.1016/j.rcl.2015.02.013. [PubMed: 26046507].
| Files | ||
| Issue | Vol 5, No 3 (2019) | |
| Section | Complication Corner | |
| DOI | https://doi.org/10.18502/jost.v5i3.4290 | |
| Keywords | ||
| Missed Diagnosis; Fracture Dislocation; Shoulder Dislocation | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Nakhaei Amroodi M, Amouzadeh omrani F, Ghanbari N, Alaedini M. Cases of Missed Posterior Fracture-Dislocation of the Shoulder. J Orthop Spine Trauma. 2020;5(3):75-9.
