Posterior fracture-dislocation of the humeral head treated without the use of metallic implants.
Posterior fracture-dislocation of the humeral head is an uncommon injury, usually associated with seizures, electrocution injury and high-impact trauma. Prompt diagnosis and treatment are important to prevent avascular necrosis of the humeral head. Various methods to treat such injury have been described. We report a 34-year-old man who had a four-part humeral head fracture with concomitant posterior dislocation that was treated with open reduction and internal fixation with non-absorbable polyester sutures. The diagnosis and operative techniques are described and factors influencing our choice of management are discussed. A review of the literature is also included.
Tey
I K
IK
Sports Medicine Service, Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Singapore 169608. innkuang@hotmail.com
Tan
A H C
AH
D000328:Adult; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D010020:Osteonecrosis / Q000517:prevention & control*; D016059:Range of Motion, Articular; D012783:Shoulder Dislocation / Q000601:surgery*