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Ipsilateral dislocation of the shoulder and elbow
1Department of Orthopedic Surgery, College of Medicine and Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia. jinnah_mrk@hotmail.com
Saudi Medical Journal
|December 18, 2001
Summary
Ipsilateral shoulder and elbow dislocation is a rare injury. Conservative treatment led to successful recovery of joint function and nerve function in a patient with this complex condition.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Musculoskeletal Disorders
Background:
- Ipsilateral shoulder and elbow dislocations are exceptionally rare traumatic injuries.
- Previous literature documents only two reported cases of this specific injury pattern.
Observation:
- A 35-year-old male sustained a road traffic accident while under the influence of alcohol.
- The patient presented with a posterior left elbow dislocation and an anterior left shoulder dislocation.
- Associated injuries included a minimally displaced greater tuberosity fracture and partial median nerve palsy.
Findings:
- Closed reduction of the elbow and shoulder dislocations was successfully performed under sedation.
- Median nerve function fully recovered within two months post-reduction.
- Near-complete return of elbow and shoulder joint mobility was observed at three months.
Implications:
- This case highlights that even complex, rare ipsilateral shoulder and elbow dislocations can be managed effectively with conservative treatment.
- Early diagnosis and prompt reduction are crucial for favorable outcomes.
- Successful conservative management can restore function and reduce long-term morbidity.