Intrathoracic dislocation of the humeral head accompanied by polytrauma: How to treat it?
نویسندگان
چکیده
High-energy trauma to the shoulder is associated with multiple injuries and is often difficult to evaluate. One of these complex traumas is the displacement of the humeral head into the thoracic cavity. This study aimed to report a patient who presented after falling three floors. Initially, the patient underwent chest drainage and thoracoscopy to remove the displaced humeral head and, subsequently, underwent delayed artificial humeral head replacement. Hemodynamic stability, systematic evaluation, removal of the humeral head, and individual shoulder reconstruction are recommended for these patients.
منابع مشابه
Intrathoracic Displacement of Fractured Right Humeral Head: A Case Report
Intrathoracic displacement of the humeral head is a very uncommon condition and can be life threatening due to lungor heart injuries. There is a report of this condition where intrathoracic bone fragment was missed. Because of rareincidence there is no guideline for approach and treatment of this condition.We hereby present a case of intrathoracic displacement of fractured hum...
متن کاملIntrathoracic fracture-dislocation of the humeral head: a case report.
Fracture-dislocation of the humeral head into the thoracic cavity is a rare injury. We present one such case in a 70-year-old woman. She presented with a 4-part fracture-dislocation of the proximal humerus, with displacement of the humeral head into the thoracic cavity. She had no signs of acute distress or hemodynamic instability. She underwent hemiarthroplasty of the right shoulder, but the h...
متن کاملIntrathoracic fracture-dislocation of the humerus – case report and literature review☆
Shoulder fracture-dislocations are uncommon. Those associated with intrathoracic dislocation are very rare conditions, resulting from high-energy trauma; usually, the affected limb is in an abduction position. In Brazil, there is only one report of a teenager with displacement of the epiphysis into the chest cavity; the present is the first adult patient report of intrathoracic dislocation of t...
متن کاملIntrathoracic displacement of a fractured humeral head due to blunt trauma.
The incidence of a fractured humeral head penetrating into the thoracic cavity is extremely rare. A 46-year-old woman presented with moderate respiratory distress at the emergency department after being involved in a motor vehicle accident. Radiographic examinations revealed fractures of the second to fifth ribs on the left side along with hemopneumothorax and fracture-dislocation of the humera...
متن کاملShoulder Dislocation
Mechanism Shoulder dislocation is usually anterior (95-98% of cases). [1]However, posterior dislocation can sometimes occur. Inferior, superior and intrathoracic dislocations can also occur but are rare and will not be discussed further. Anterior dislocation is almost invariably traumatic. It usually occurs when people fall with a combination of abduction, extension and a posteriorly directed f...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
دوره 21 2 شماره
صفحات -
تاریخ انتشار 2015