title: Salvage of shoulder joint through simplification of wound management.
abstract: Infection is a common sequela of open dislocation of the shoulder joint. This typically leads to joint surface and humeral head necrosis, resulting in severe limitation of motion. Few cases of open and infected glenohumeral joints have been reported, and none had a good functional outcome with pain-free, near-full range of motion. Here we report the case of a 24-year-old man, who sustained a severe degloving injury of his left shoulder with an open glenohumeral joint, in a road traffic accident. We describe a treatment plan that salvaged near-full range of shoulder motion and resulted in pain-free active and passive movements.
authors.affiliation: Department of surgery, Division of plastic, Reconstructive and aesthetic surgery, american university of Beirut medical Center, Beirut, lebanon.
authors.forename: A E
authors.initials: AE
authors.lastname: Ibrahim
authors.forename: K A
authors.initials: KA
authors.lastname: Sarhane
authors.forename: B S
authors.initials: BS
authors.lastname: Atiyeh
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D006801:Humans; D008297:Male; D011552:Pseudomonas Infections / Q000628:therapy; D011550:Pseudomonas aeruginosa; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function; D016879:Salvage Therapy; D012783:Shoulder Dislocation / Q000601:surgery*; D012785:Shoulder Joint / Q000382:microbiology; D014945:Wound Healing; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents