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Proximal humerus head-splitting fracture associated with single-part anterior dislocation
Kemal Gokkus1, Emre Agar2, Ergin Sagtas3
1Orthopaedics and Trauma Deparment, Antalya Memorial Hospital, Antalya, Turkey.
BMJ Case Reports
|August 2, 2014
Summary
An extremely rare anteriorly dislocated humeral head fracture was successfully treated with open reduction and internal fixation. Preoperative CT scans were crucial for surgical planning in this unique case.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Humeral head fractures are uncommon, typically involving posterior dislocation of the fractured segment.
- Anterior dislocation of a split humeral head fragment presents a rare clinical challenge.
Observation:
- A unique case of a humeral head fracture with anterior dislocation of the split segment was observed.
- The dislocated fragment was found trapped between the anterior glenoid and the subscapularis muscle.
Findings:
- Preoperative computed tomography (CT) imaging was essential for detailed pre-surgical planning.
- Open anatomic reduction and internal fixation were performed successfully.
Implications:
- This case highlights the importance of advanced imaging in managing rare fracture patterns.
- Open reduction and internal fixation is recommended as a primary treatment for active young adults with such injuries.
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