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ISSN 1025-0255 (Electronic)

2012, Number 1

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AMC 2012; 16 (1)

Previous dislocation and fracture of the right shoulder with posterior dislocation of the elbow: a case report

Fonseca GH; Aragón CI; Chico GM; Sasturaín MME; Chang RT

Language: Spanish
References: 10
Page: 77-82
PDF size: 90.51 Kb.


ABSTRACT

Introduction: dislocation and fracture of shoulder and dislocation of elbow are described but is very unusual when they are concomitant and on the same side of the body.
Clinical case: a case of a 45-year-old, male patient who was treated in the service of Traumatology at the University Hospital Martín Chang Puga from Nuevitas, presenting dislocation and fracture of the right shoulder and dislocation of the elbow on the same side of the body due to a car accident. Urgent manual reduction of both dislocations and radiological control, with satisfactory results took place. The elbow was immobilized with a backboard plaster splint and a Velpeau´s bandage for the shoulder. The immobilization devise of the elbow was removed after three weeks and that of the shoulder after six. Subsequently began rehabilitation, and great results were obtained with both joints and the upper limb functions.
Conclusions: the immediate action against this type of injury, with adequate reduction, immobilization and rehabilitation enables a favorable prognosis and good recovery.


REFERENCES

  1. Álvarez C R, Álvarez L R. Lesiones traumáticas del hombro. En Álvarez C R. Tratado de Cirugía Ortopédica Traumatología. T1. La Habana. ECIMED. 2010.p.169-78.

  2. Gosack A. La fisiología del hombro. Prensa Med Argentina [serie en Internet]. 2007 [citado feb 25 2011]; 94(9/10): 542-50. Available from: http://www.bvsalud.cu

  3. Bori G, Prat S, Popescu D, Domingo A. Fractura de la coracoides, fractura del troquiter y lesión de Hill Sachs después de un primer episodio de luxación anterior de hombro. Madrid. Rev Trauma Fund MAPFRE 2006; 4(3):218-21.

  4. Terrel G VM, Oncolada C E, Sainz S R. Patología del aparato locomotor. Fractura luxación posterior de hombro. A propósito de um caso. Madrid. Rev Trauma Fund MAPFRE 2007; 5(1): 24-7.

  5. Seybold D, Schildhoner T A, Muhr G. Rare anterior shoulder dilocation in a tuddler. Arch Ortho Trauma Surg [Internet]. 2007; 129(3):295-298. Available from http://springerlink.com

  6. Sanjuán C. Inestabilidad longitudinal del antebrazo. Fracturas de Essex Lopresti. Clasificación y tratamiento. Madrid Rev Trauma Fund MAPFRE. 2010; 21(4):207

  7. Romero B M, Medina J A, Moratore G. Fractura Luxación del codo bilateral. Madrid Rev Trauma Fund MAPFRE. 2010; 21(2): 88-90.

  8. Álvarez L A, García L Y, Puentes A A, Gutiérrez B M. Triada Terrible del codo. Rev AMC. [serie en Internet]. 2010 [citado 3 dic 2011]; 14(5): [aprox. 3 p.]. Disponible en http://www.scielo.org

  9. Haan J N, Tuinebreijer W E. Simple elbow dislocations. A systematic review of the literature. Arch Ortho Trauma Surg [serial on the Internet]. 2010; 130(2):240-49. Available from http://www.springerlink.com

  10. Alemán L R. Lesiones traumáticas del codo. En Álvarez C R. Tratado de Cirugía Ortopédica Traumatología. T1. La Habana. ECIMED. 2010.p.213-21




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