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 Table of Contents  
COMMENTARY
Year : 2017  |  Volume : 7  |  Issue : 2  |  Page : 30

Neglected post-traumatic shoulder dislocation with proximal humeral fracture


Department of Orthopedics, Dr. Hedgewar Aarogya Sansthan, New Delhi, India

Date of Web Publication30-Jul-2018

Correspondence Address:
Arvind Kishore
Department of Orthopedics, Dr. Hedgewar Aarogya Sansthan, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijsr.Int_J_Stud_Res_13_18

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How to cite this article:
Kishore A. Neglected post-traumatic shoulder dislocation with proximal humeral fracture. Int J Stud Res 2017;7:30

How to cite this URL:
Kishore A. Neglected post-traumatic shoulder dislocation with proximal humeral fracture. Int J Stud Res [serial online] 2017 [cited 2019 Oct 15];7:30. Available from: http://www.ijsronline.net/text.asp?2017/7/2/30/237939

Chronic shoulder dislocation with fracture of humeral head may often go undetected. The term “chronic” is usually employed to define the loss of injury recognition 4 weeks since occurrence. In the current report, the author describes a similar case of an undetected, long-standing neglected injury of the shoulder with a proximal humeral fracture in an elderly male[1]. Clinical examination elicited a positive Neer and Jobe tests. Shoulder X-ray (AP view) along with computed tomography with three-dimensional reconstruction can aid in evaluation in delayed or missed cases. Delayed or neglected shoulder dislocations are difficult to manage and may often progress to avascular necrosis and osteoarthrosis. Ideal treatment strategy includes extensive shoulder reconstruction with fracture fixation and grafting or total shoulder arthroplasty for optimal functional outcome [2],[3]. A reverse shoulder arthroplasty by transforming the glenoid into a spherical head with the humeral head as a socket can provide a stable fulcrum for the glenohumeral joints in the setting of deficient rotator cuff[4]. This case reiterates the importance of timely orthopedic consultation for subthreshold symptomatology to rule our bony discontinuity.

Competing Interest

The author declares that he has no competing interests.

Funding

Sources of Funding: None.



 
  References Top

1.
Calderaro C. Old post-traumatic malunited humeral head fracture with dislocated shoulder: Delayed effect of an underestimated fall. Int J Stud Res 2017;7(2):29.  Back to cited text no. 1
    
2.
Souchon E. Operative treatment of irreducible dislocation of the shoulder joint, recent or old, simple or complicated. Trans Am Surg Assoc 1891;15:311-442.  Back to cited text no. 2
    
3.
Brooks CH, Revell WJ, Heatley FW. Vascularity of the humeral head after proximal humeral fractures. An anatomical cadaver study. J Bone Joint Surg Br 1993;75(1):132-6.  Back to cited text no. 3
    
4.
Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics 1993;16(1):65-8.  Back to cited text no. 4
    




 

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