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Cemented humeral surface replacement for a locked posterior fracture-dislocation: a case report
Thomas Kappe1, Mohammed Elsharkawi, Heiko Reichel
1Department for Orthopedic Surgery, University of Ulm, Ulm, Germany. thomas.kappe@gmx.de
Journal of Orthopaedic Trauma
|May 18, 2011
Summary
Posterior shoulder fracture-dislocations are rare. A cemented humeral surface replacement effectively treated a complex case in an elderly patient, restoring good shoulder function.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Shoulder Reconstruction
Background:
- Posterior fracture-dislocations of the shoulder are uncommon and complex injuries.
- Management is challenging, especially with significant articular surface involvement.
Observation:
- A 76-year-old male patient experienced a locked posterior humeral head fracture-dislocation during a convulsion.
- Over 40% of the articular surface was compromised, precluding head preservation.
Findings:
- The patient underwent a cemented humeral surface replacement for the complex fracture-dislocation.
- Short-term follow-up revealed good shoulder function and stability.
Implications:
- Humeral surface replacement presents a viable treatment option for shoulder fracture-dislocations with extensive articular surface damage.
- This technique may offer a solution for challenging posterior shoulder injuries where head preservation is not feasible.
