Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지
DOI QR코드

DOI QR Code

Posterior Shoulder Dislocation with a Greater Tuberosity Fracture and Total Rupture of Rotator Cuff - A Case Report -

상완골 대결절 골절 및 회전근 개 전 파열이 동반된 견관절 후방 탈구 - 증례 보고 -

  • Shin, Sung-Ryong (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Kim, Do-Young (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Lee, Sang-Soo (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Ryu, Yun-Sik (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Jung, Un-Seob (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Choi, Hyun-Seok (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine)
  • 신성룡 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 김도영 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 이상수 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 유연식 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 정운섭 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 최현석 (한림대학교 의과대학 춘천성심병원 정형외과학교실)
  • Published : 2007.12.15
Download PDF
⟨ Previous Next ⟩

Abstract

A posterior shoulder dislocation with a fracture is rare. Most fractures are impression fractures of the humeral head or lesser tuberosity fractures. However, there are no reports of a complete rupture of the rotator cuff with a combined posterior glenohumeral dislocation. We report a unique case of a posterior shoulder dislocation with an avulsion fracture of the greater tuberosity and a complete rupture of infraspinatus, teres minor and subscapularis tendons, which were treated surgically.

골절이 동반된 견관절 후방 탈구는 견관절 탈구의 1% 미만을 차지하며 동반되는 골절은 상완골 두 감입 골절이나 소결절 골절이 대부분이다. 그러나 회전근 개 전 파열이 동반된 후방 탈구는 아직까지 보고된 적이 없다. 저자들은 견관절 후방 탈구와 함께 극상근건이 부착된 대결절 견열 골절, 극하근건, 소원형근건 및 견갑하근건의 완전 파열이 동반되어 수술 치료한 1예를 경험하였기에 문헌 고찰과 함께 보고하고자 한다.

Keywords

References

  1. Blasier RB, Burkus JK: Management of posterior fracture-dislocations of the shoulder. Clin Orthop, 232:197-204, 1988.
  2. Karr K, Wirth MA, Rockwood CA Jr: Missed posterior fracture-dislocation of the humeral head. J Bone Joint Surg Am, 81: 708-710, 1999. https://doi.org/10.2106/00004623-199905000-00013
  3. Mancini GB, Lazzeri S: Bilateral posterior fracture-dislocation of the shoulder. Opthopedics, 25:433-434, 2002.
  4. Ogawa K, Ogawa Y, Yoshida A: Posterior fracture-dislocation of the shoulder with infraspinatus interposition: The buttonhole phenomenon. A case report. J Trauma, 43:688-691, 1997. https://doi.org/10.1097/00005373-199710000-00021
  5. Robinson CM, Aderinto J: Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg Am, 87: 639-650, 2005. https://doi.org/10.2106/JBJS.D.02371
  6. Show JL: Bilateral posterior fracture-dislocation of the shoulder and other trauma caused by convulsive seizures. J Bone Joint Surg Am, 53: 437-440, 1971.
  7. Stableforth PG, Sarangi PP: Posterior fracture- dislocation of the shoulder. a superior subacromial approach for open reduction. J Bone Joint Surg Br, 74: 579-584, 1992.
  8. Tietjen R: Occult glenohumeral interposition of a torn rotator cuff. A case report. J Bone Joint Surg Am, 64: 457-459, 1982.