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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Ipsilateral shoulder and elbow dislocation: a case report.

S Meena1, P Saini1, G Rustagi2

  • 1Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

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|October 4, 2014
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Summary
This summary is machine-generated.

Simultaneous ipsilateral shoulder and elbow dislocation is a rare injury. High suspicion is crucial for diagnosis, as shoulder dislocation is often missed, ensuring prompt treatment and full recovery.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Simultaneous ipsilateral shoulder and elbow joint dislocation is an exceptionally rare injury.
  • Previous reports indicate a high rate of missed shoulder dislocation diagnoses in such cases.
  • Keywords: Dislocation, shoulder, elbow, ipsilateral.

Purpose of the Study:

  • To report a rare case of simultaneous ipsilateral shoulder and elbow joint dislocation.
  • To highlight the importance of a high index of suspicion for diagnosing this injury.
  • To emphasize prompt diagnosis and management for optimal patient outcomes.

Main Methods:

  • Case presentation of a 30-year-old male following a motor vehicle accident.
  • Radiographic imaging of both shoulder and elbow joints.
  • Closed reduction of the elbow joint followed by the shoulder joint under general anesthesia.

Main Results:

  • Successful reduction of both ipsilateral shoulder and elbow joints.
  • Patient achieved full range of motion and returned to occupation at 1.5-year follow-up.
  • Demonstrated the feasibility of timely diagnosis and treatment for this rare injury.

Conclusions:

  • Simultaneous ipsilateral shoulder and elbow dislocation requires a high index of suspicion for accurate diagnosis.
  • Prompt radiographic evaluation of both joints is essential.
  • Early and appropriate management leads to favorable long-term outcomes.