Archives of Trauma Research Archives of Trauma Research Arch Trauma Res http://www.archtrauma.com 2251-953X 2251-9599 10.5812/atr. en jalali 2018 2 21 gregorian 2018 2 21 6 2
en 10.5812/atr.38931 Locked Posterior Dislocation of Shoulder With Fracture of the Lesser Tuberosity of the Humerus: A Case Report and Review of the Literature Locked Posterior Dislocation of Shoulder With Fracture of the Lesser Tuberosity of the Humerus: A Case Report and Review of the Literature case-report case-report Conclusions

Fracture fixation plays a crucial role in stability after reduction. Several techniques have been suggested for surgical treatment including fixation with screw and the modified McLaughlin technique. Similar to the previous case reports, according to our experience, careful attention to the fracture concomitant with posterior dislocation is of the utmost importance.

Introduction

Posterior shoulder dislocation associated with fracture of the lesser tuberosity is considered as a rare shoulder trauma. It can lead to the locked shoulder with a very high possibility of unsuccessful closed reduction.

Case Presentation

In this case, the patient was a 30-year-old male motorcyclist with the right shoulder injury who had posterior shoulder dislocation with lesser tuberosity fracture. Early attempt for closed reduction was unsuccessful and led to iatrogenic brachial plexus injury. This patient is treated by open reduction and fracture fixation with screw. Subscapularis partial rupture was repaired. Finally, full stability was achieved.

Conclusions

Fracture fixation plays a crucial role in stability after reduction. Several techniques have been suggested for surgical treatment including fixation with screw and the modified McLaughlin technique. Similar to the previous case reports, according to our experience, careful attention to the fracture concomitant with posterior dislocation is of the utmost importance.

Introduction

Posterior shoulder dislocation associated with fracture of the lesser tuberosity is considered as a rare shoulder trauma. It can lead to the locked shoulder with a very high possibility of unsuccessful closed reduction.

Case Presentation

In this case, the patient was a 30-year-old male motorcyclist with the right shoulder injury who had posterior shoulder dislocation with lesser tuberosity fracture. Early attempt for closed reduction was unsuccessful and led to iatrogenic brachial plexus injury. This patient is treated by open reduction and fracture fixation with screw. Subscapularis partial rupture was repaired. Finally, full stability was achieved.

Posterior Fracture Dislocation;Lesser Tuberosity Fracture;Reverse Hill-Sachs Lesion Posterior Fracture Dislocation;Lesser Tuberosity Fracture;Reverse Hill-Sachs Lesion http://www.archtrauma.com/index.php?page=article&article_id=38931 Ali Tabrizi Ali Tabrizi Assistant Professor of Orthopedics Surgery Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, IR Iran; MD, Moderres Ave, Imam Khomeini Educational Hospital, Urmia University of Medical Sciences, Urmia, IR Iran. Tel: +98-9143130829 Assistant Professor of Orthopedics Surgery Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, IR Iran; MD, Moderres Ave, Imam Khomeini Educational Hospital, Urmia University of Medical Sciences, Urmia, IR Iran. Tel: +98-9143130829 Mir Bahram Safari Mir Bahram Safari Assistant Professor of Orthopedics Surgery Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, IR Iran Assistant Professor of Orthopedics Surgery Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, IR Iran Hassan Taleb Hassan Taleb Assistant Professor of Orthopedics Surgery Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, IR Iran Assistant Professor of Orthopedics Surgery Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, IR Iran Nasrin Navaeifar Nasrin Navaeifar Assistant Professor of Orthopedics Surgery Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, IR Iran Assistant Professor of Orthopedics Surgery Department, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, IR Iran