Ipsilateral shoulder fracture/dislocation and elbow dislocation combined with distal radius fracture – case report
DOI:
https://doi.org/10.5457/ams.v55i1.836Keywords:
elbow injuries, radius fractures, shoulder dislocation, shoulder fractures, wrist fractureAbstract
Upper extremity fractures and dislocations can have multiple combinations, most already described in the literature. This is the first report of ipsilateral shoulder fracture/dislocation, elbow dislocation, and distal radius fracture.
The patient presented after a low-energy trauma and was diagnosed with proximal humerus fracture (AO 11-A1)/anterior dislocation, posterior elbow dislocation, and distal radius fracture (AO 23-B1). The diagnostic and treatment processes were affected by the patient’s intoxication. Due to poor patient cooperation, all injuries were treated non-surgically. The final results one year after the injury were excellent, with minor limitations in the range of motion of the shoulder and wrist joints.
Only about 10 case reports in the literature describe ipsilateral shoulder and elbow dislocation and only one report describes this injury combination and additional fracture of the humerus and forearm. In all these cases, injuries occurred as a result of high-energy trauma. Our case report is the first one that describes this combination of injuries caused by a low-energy trauma. The most likely predisposing factor was alcohol intoxication before the fall on the outstretched hand which caused the unusual transfer of force causing this injury combination. Diagnostic and treatment processes were significantly affected by the patient’s poor cooperation. However, the final results show that non-operative treatment of this type of injury can provide excellent results in selected cases.
This case report shows that even this type of injury can be treated non-operatively with excellent results.
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