Intrathoracic humeral head fracture-dislocation.
There are few cases in the medical literature documenting intrathoracic glenohumeral fracture-dislocations. A total of eight cases have been reported-two intrathoracic humerus dislocations with greater tuberosity fractures 1, 2 and six cases with intrathoracic fracture-dislocations in which the fracture involved the humeral neck. 3-8 With so few cases, treatment modalities vary, and no guidelines exist. Patients in five of the reported cases underwent surgery, 1, 3-6 while the other three were treated nonoperatively. 2, 7, 8 We present a case of a middle-aged woman involved in a high-speed motor vehicle accident who sustained an intrathoracic humeral head fracture-dislocation and underwent operative treatment.
Harman
Bradley D
BD
Department of Orthopedics, Scott & White Memorial Hospital and Clinic, Scott, TX, USA.
Miller
Nathan G
NG
Probe
Robert A
RA
D001178:Arthroplasty; D005260:Female; D005593:Fracture Fixation, Internal; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D007430:Intraoperative Care; D004204:Joint Dislocations / Q000601:surgery*; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery*; D012253:Rib Fractures / Q000000981:diagnostic imaging; D013909:Thorax; D014057:Tomography, X-Ray Computed