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Intrathoracic shoulder dislocation causing rupture of the right main bronchus
Nicholas Hayes1, John White2, Peter Lillie3,4
1Department of Orthopaedic Surgery and Trauma, Flinders Medical Centre, Adelaide, SA, Australia. nicholas.hayes5@gmail.com.
Archives of Orthopaedic and Trauma Surgery
|August 7, 2019
Summary
This case report details a rare intrathoracic shoulder dislocation combined with a right main bronchus rupture following high-energy trauma. This unique injury highlights severe thoracic and shoulder trauma associations.
Area of Science:
- Traumatology
- Thoracic Surgery
- Orthopedic Surgery
Background:
- Intrathoracic shoulder dislocation is a rare injury typically resulting from high-energy trauma.
- It is often associated with other severe injuries, including thoracic, pelvic, and long bone fractures, and can involve neurovascular compromise.
Observation:
- This report presents a unique case of intrathoracic right-shoulder fracture dislocation.
- The injury was associated with a rupture of the ipsilateral right main bronchus, a complication not previously reported in the literature.
Findings:
- Computed tomography revealed diastasis of the first intercostal space and the humeral head indented within the lung hilum.
- A pneumoarthrogram confirmed the intrathoracic dislocation of the right glenohumeral joint.
Implications:
- This case underscores the potential for severe, multi-system trauma in high-energy incidents.
- It expands the known spectrum of injuries associated with intrathoracic shoulder dislocations, emphasizing the need for comprehensive evaluation in such cases.
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