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Traumatic shoulder fracture-dislocation in a 7-year-old child: a case report.

Isik M, Subasi M, Cebesoy O, Koca I, Pamukcu U - J Med Case Rep (2013)

Bottom Line: In some cases, success in durable reduction with conservative methods, and achieving lasting treatment, may not be possible.In this study, the case of a 7-year-old Turkish girl with a Salter-Harris type II fracture and glenohumeral dislocation of the proximal humerus due to a fall from a height of 1.5 meters who underwent open reduction surgery is presented along with a review of the literature.Orthopedic surgeons should consider glenohumeral dislocation which is an extremely rare condition when they encounter proximal humerus fractures in pediatric trauma.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics and Traumatology, University of Gaziantep Faculty of Medicine, Gaziantep, Turkey. drmustafaisik@yahoo.com.

ABSTRACT

Introduction: In contrast to adults, traumatic glenohumeral dislocation is a rarely observed condition among children. In some cases, success in durable reduction with conservative methods, and achieving lasting treatment, may not be possible.

Case presentation: In this study, the case of a 7-year-old Turkish girl with a Salter-Harris type II fracture and glenohumeral dislocation of the proximal humerus due to a fall from a height of 1.5 meters who underwent open reduction surgery is presented along with a review of the literature.

Conclusion: Orthopedic surgeons should consider glenohumeral dislocation which is an extremely rare condition when they encounter proximal humerus fractures in pediatric trauma.

No MeSH data available.


Related in: MedlinePlus

Radiologic image of shoulder after union achieved.
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Figure 3: Radiologic image of shoulder after union achieved.

Mentions: After fluoroscopy-guided closed reduction under general anesthesia was not successful, open surgery was performed instead. With a deltopectoral incision, the fracture line and the joint capsule were exposed. It was observed that the humerus head had moved beneath the glenoid. The fracture was first reduced, and glenohumeral reduction was then performed after fixation was ensured with two Kirschner wires (Figures 2 and 3). The patient was postoperatively followed-up for 4 weeks in Velpeau bandage. After union at the fracture was identified on the radiographs taken at the end of the postoperative 4th week, the Kirschner wires were removed under sedation, and the patient was commenced on an exercise program in order to increase the range of motion of her shoulder joint. After an exercise program of 2 weeks, the range of motion of the patient’s joint was almost fully restored. Only a limitation in abduction of 15 degrees was observed. In the postoperative 12th week, it was observed that the range of motion of her joint was at the same level as her healthy side. No redislocations were observed during the 6-month follow-up period.


Traumatic shoulder fracture-dislocation in a 7-year-old child: a case report.

Isik M, Subasi M, Cebesoy O, Koca I, Pamukcu U - J Med Case Rep (2013)

Radiologic image of shoulder after union achieved.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750239&req=5

Figure 3: Radiologic image of shoulder after union achieved.
Mentions: After fluoroscopy-guided closed reduction under general anesthesia was not successful, open surgery was performed instead. With a deltopectoral incision, the fracture line and the joint capsule were exposed. It was observed that the humerus head had moved beneath the glenoid. The fracture was first reduced, and glenohumeral reduction was then performed after fixation was ensured with two Kirschner wires (Figures 2 and 3). The patient was postoperatively followed-up for 4 weeks in Velpeau bandage. After union at the fracture was identified on the radiographs taken at the end of the postoperative 4th week, the Kirschner wires were removed under sedation, and the patient was commenced on an exercise program in order to increase the range of motion of her shoulder joint. After an exercise program of 2 weeks, the range of motion of the patient’s joint was almost fully restored. Only a limitation in abduction of 15 degrees was observed. In the postoperative 12th week, it was observed that the range of motion of her joint was at the same level as her healthy side. No redislocations were observed during the 6-month follow-up period.

Bottom Line: In some cases, success in durable reduction with conservative methods, and achieving lasting treatment, may not be possible.In this study, the case of a 7-year-old Turkish girl with a Salter-Harris type II fracture and glenohumeral dislocation of the proximal humerus due to a fall from a height of 1.5 meters who underwent open reduction surgery is presented along with a review of the literature.Orthopedic surgeons should consider glenohumeral dislocation which is an extremely rare condition when they encounter proximal humerus fractures in pediatric trauma.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics and Traumatology, University of Gaziantep Faculty of Medicine, Gaziantep, Turkey. drmustafaisik@yahoo.com.

ABSTRACT

Introduction: In contrast to adults, traumatic glenohumeral dislocation is a rarely observed condition among children. In some cases, success in durable reduction with conservative methods, and achieving lasting treatment, may not be possible.

Case presentation: In this study, the case of a 7-year-old Turkish girl with a Salter-Harris type II fracture and glenohumeral dislocation of the proximal humerus due to a fall from a height of 1.5 meters who underwent open reduction surgery is presented along with a review of the literature.

Conclusion: Orthopedic surgeons should consider glenohumeral dislocation which is an extremely rare condition when they encounter proximal humerus fractures in pediatric trauma.

No MeSH data available.


Related in: MedlinePlus