title: Innovative use of computer-assisted tomography in the management of an irreducible anterior shoulder dislocation.
abstract: Anterior dislocation of the shoulder is a common injury which is often reduced in the emergency department, without specialist orthopedic input. We report a case of an irreducible locked anterior glenohumeral dislocation with impaction of the humeral head onto the antero-inferior glenoid rim and subsequent generation of a Hill-Sachs lesion. To our knowledge, we describe the first reported case of using computer-assisted tomography to generate a sequence of movements to safely disimpact the locked dislocation without causing further iatrogenic injury or a fracture through the humeral articular surface. This novel image-assisted closed reduction technique spared the patient from the morbidity associated with performing open reduction surgery. At 6-month follow-up, the patient reported no re-dislocations, returned to work and had excellent range of motion.
authors: Orthopaedic Trainee, Heart of England Foundation Trust, Birmingham Heartlands Hospital, Bordesley Green East, Bordesley Green, Birmingham, United Kingdom.
authors: Rajpal S
authors: RS
authors: Nandra
authors: Harpal
authors: H
authors: Uppal
authors: Gulraj
authors: G
authors: Matharu
authors: Stuart
authors: S
authors: Brooks
authors: Kapakuntra
authors: K
authors: Srinivasan