Chronic Posterior Dislocation of the Glenohumeral Joint Complicated by a Fractured Proximal Humerus: A Case Report

A 41-year-old right-handed woman was involved in a traffic accident and landed on the right arm while the right shoulder was in flexion. She experienced pain and severe impairment of right shoulder motion immediately following the accident. She was misdiagnosed with a fractured proximal humerus with...

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Main Authors: K Takase, A Watanabe, K Yamamoto
Format: Article
Language:English
Published: SAGE Publishing 2006-08-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949900601400220
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author K Takase
A Watanabe
K Yamamoto
author_facet K Takase
A Watanabe
K Yamamoto
author_sort K Takase
collection DOAJ
description A 41-year-old right-handed woman was involved in a traffic accident and landed on the right arm while the right shoulder was in flexion. She experienced pain and severe impairment of right shoulder motion immediately following the accident. She was misdiagnosed with a fractured proximal humerus with no displacement and was treated conservatively by immobilisation. There was inadequate recovery in range of motion and gradual development of severe pain. Two years and 4 months after the injury, the patient presented to our hospital where a diagnosis of chronic posterior fracture dislocation of the shoulder with split articular surface of the humeral head was made. A humeral head replacement without resection of the greater tuberosity or the coracoid process was performed. Postoperative recovery was uneventful. The patient returned to work as a cook one year later. At 20-month follow-up, the patient had no pain, and her shoulder range of motion was forward flexion 160 degrees, abduction 140 degrees, external rotation 40 degrees, and internal rotation L3.
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spelling doaj.art-c39d727b967a48c48346f05b5105c16b2022-12-22T00:56:07ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902006-08-011410.1177/230949900601400220Chronic Posterior Dislocation of the Glenohumeral Joint Complicated by a Fractured Proximal Humerus: A Case ReportK TakaseA WatanabeK YamamotoA 41-year-old right-handed woman was involved in a traffic accident and landed on the right arm while the right shoulder was in flexion. She experienced pain and severe impairment of right shoulder motion immediately following the accident. She was misdiagnosed with a fractured proximal humerus with no displacement and was treated conservatively by immobilisation. There was inadequate recovery in range of motion and gradual development of severe pain. Two years and 4 months after the injury, the patient presented to our hospital where a diagnosis of chronic posterior fracture dislocation of the shoulder with split articular surface of the humeral head was made. A humeral head replacement without resection of the greater tuberosity or the coracoid process was performed. Postoperative recovery was uneventful. The patient returned to work as a cook one year later. At 20-month follow-up, the patient had no pain, and her shoulder range of motion was forward flexion 160 degrees, abduction 140 degrees, external rotation 40 degrees, and internal rotation L3.https://doi.org/10.1177/230949900601400220
spellingShingle K Takase
A Watanabe
K Yamamoto
Chronic Posterior Dislocation of the Glenohumeral Joint Complicated by a Fractured Proximal Humerus: A Case Report
Journal of Orthopaedic Surgery
title Chronic Posterior Dislocation of the Glenohumeral Joint Complicated by a Fractured Proximal Humerus: A Case Report
title_full Chronic Posterior Dislocation of the Glenohumeral Joint Complicated by a Fractured Proximal Humerus: A Case Report
title_fullStr Chronic Posterior Dislocation of the Glenohumeral Joint Complicated by a Fractured Proximal Humerus: A Case Report
title_full_unstemmed Chronic Posterior Dislocation of the Glenohumeral Joint Complicated by a Fractured Proximal Humerus: A Case Report
title_short Chronic Posterior Dislocation of the Glenohumeral Joint Complicated by a Fractured Proximal Humerus: A Case Report
title_sort chronic posterior dislocation of the glenohumeral joint complicated by a fractured proximal humerus a case report
url https://doi.org/10.1177/230949900601400220
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AT awatanabe chronicposteriordislocationoftheglenohumeraljointcomplicatedbyafracturedproximalhumerusacasereport
AT kyamamoto chronicposteriordislocationoftheglenohumeraljointcomplicatedbyafracturedproximalhumerusacasereport