title: A humeral shaft fracture complicated with anterior shoulder dislocation in a young male treated with modified Intramedullary nailing prior to reduction: a case report.
abstract: BACKGROUND
  Anterior dislocation of the shoulder joint with an ipsilateral fracture of the humeral shaft is a rare injury which may require demanding technical skills.
  
  
  METHODS
  A 33 years old male sustained a work accident. Radiographs showed an anterior dislocation of the shoulder with a transverse fracture of the middle third of the humeral shaft on the same side. The dislocation proved to be irreducible in the setting of the fracture humerus. Thus, stabilization of the shaft fracture was successfully applied with an intramedullary nail and a small antirotational plate prior to the reduction. The patient recovered full function of the shoulder.
  
  
  CONCLUSIONS
  Performing primary intramedullary nailing of the humeral shaft fracture before manipulation of the joint resulted to an excellent outcome.
authors.affiliation: Department of Trauma and Orthopedic Surgery, Democritus University of Thrace, Dragana, B.O. 68100, Alexandroupolis, Greece.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Kazakos
authors.forename: Stamatis
authors.initials: S
authors.lastname: Paraschou
authors.forename: Nikolaos G
authors.initials: NG
authors.lastname: Lasanianos
authors.forename: Dionysios
authors.initials: D
authors.lastname: Verettas
authors.forename: Dimitrios N
authors.initials: DN
authors.lastname: Lyras