title: Intrathoracic dislocation of the humeral head accompanied by polytrauma: How to treat it?
abstract: High-energy trauma to the shoulder is associated with multiple injuries and is often difficult to evaluate. One of these complex traumas is the displacement of the humeral head into the thoracic cavity. This study aimed to report a patient who presented after falling three floors. Initially, the patient underwent chest drainage and thoracoscopy to remove the displaced humeral head and, subsequently, underwent delayed artificial humeral head replacement. Hemodynamic stability, systematic evaluation, removal of the humeral head, and individual shoulder reconstruction are recommended for these patients.
authors.affiliation: Department of Emergency Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. zhouhaibohz@163.com.
authors.forename: Jinming
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Emergency Medicine, Zhejiang Hospital, Hangzhou, China.
authors.forename: Jin
authors.initials: J
authors.lastname: Yan
authors.affiliation: Department of Emergency Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
authors.forename: Shenhua
authors.initials: S
authors.lastname: Wang
authors.affiliation: Department of Emergency Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
authors.forename: Huiming
authors.initials: H
authors.lastname: Zhong
authors.affiliation: Department of Emergency Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
authors.forename: Haibo
authors.initials: H
authors.lastname: Zhou
mesh_terms: D000058:Accidental Falls; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D058430:Humeral Head; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D019637:Orthopedic Procedures; D012783:Shoulder Dislocation / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012784:Shoulder Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013898:Thoracic Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed