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Ipsilateral simultaneous inferior shoulder dislocation and posterior elbow dislocation: A case report.

Ali Utkan¹, Anıl Ağar, Remzi C Fakıoğlu

¹Sağlık Bilimleri Üniversitesi, Ankara Bilkent Şehir Hastanesi Ortopedi ve Travmatoloji Kliniği, 06800 Çankaya, Ankara, Türkiye. utkana@yahoo.com.

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|September 23, 2020

Summary

This case report details a rare combination of shoulder and elbow dislocations in a construction worker. A novel technique allowed prompt reduction, enabling the patient to return to work despite permanent deltoid paralysis.

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Area of Science:

Orthopedic Surgery
Traumatology

Background:

Inferior shoulder dislocation is a rare injury, often associated with significant trauma.
Combined ipsilateral shoulder and elbow dislocations are exceptionally uncommon.

Observation:

A 21-year-old male construction worker presented with ipsilateral inferior shoulder and posterior elbow dislocations.
The patient sustained these injuries in a work-related incident.

Findings:

A novel, single-operator closed reduction technique was successfully employed for both dislocations without anesthesia.
The patient experienced significant recovery of shoulder and elbow function, returning to his physically demanding job.
Despite permanent deltoid muscle paralysis due to axillary nerve injury, the patient regained functional arm abduction using accessory muscles.

Implications:

This case highlights the possibility of returning to high-activity employment after severe shoulder and elbow dislocations with nerve injury.
The described reduction technique may be applicable to other cases of inferior shoulder dislocations.
Functional recovery and return to work are achievable even with permanent loss of axillary nerve function.