Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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Chronic locked anterior shoulder dislocation with impaction of the humeral head onto the coracoid: a case report

  • Richard D. Lander (Department of Orthopedic Surgery, University of Rochester) ;
  • Marc J. O'Donnell (Department of Orthopedic Surgery, University of Rochester)
  • 투고 : 2022.06.23
  • 심사 : 2022.09.16
  • 발행 : 2023.06.01
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초록

The glenohumeral joint is one of the most commonly dislocated joints. When dislocated, the humeral head typically moves anteriorly and medially within the soft tissues adjacent to the glenoid. We present a case of a 64-year-old female who presented with a locked anterior shoulder dislocation with impaction of the humeral head onto the coracoid. To our knowledge, this is the first reported instance of humeral head impaction onto the coracoid causing the shoulder dislocation to be irreducible by closed means. Complications of this dislocation can include humeral head deformity, pseudoparalysis, brachial plexus injury, and significant pain.

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참고문헌

  1. Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am 2010;92:542-9.  https://doi.org/10.2106/JBJS.I.00450
  2. Robinson CM, Shur N, Sharpe T, Ray A, Murray IR. Injuries associated with traumatic anterior glenohumeral dislocations. J Bone Joint Surg Am 2012;94:18-26.  https://doi.org/10.2106/JBJS.J.01795
  3. Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J. Primary anterior dislocation of the shoulder in young patients: a ten-year prospective study. J Bone Joint Surg Am 1996;78:1677-84.  https://doi.org/10.2106/00004623-199611000-00006
  4. Abrams R, Akbarnia H. Shoulder dislocations overview [Internet]. StatPearls Publishing; 2022 [cited 2022 Sep 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/29083735/ 
  5. Cutts S, Prempeh M, Drew S. Anterior shoulder dislocation. Ann R Coll Surg Engl 2009;91:2-7.  https://doi.org/10.1308/003588409X359123
  6. Schneider MM, Balke M, Koenen P, Bouillon B, Banerjee M. Avulsion fracture of the coracoid process in a patient with chronic anterior shoulder instability treated with the Latarjet procedure: a case report. J Med Case Rep 2014;8:394. 
  7. Statz JM, Schoch BS, Sanchez-Sotelo J, Sperling JW, Cofield RH. Shoulder arthroplasty for locked anterior shoulder dislocation: a role for the reversed design. Int Orthop 2017;41:1227-34.  https://doi.org/10.1007/s00264-017-3450-1
  8. Matsuzaki T, Kokubu T, Nagura I, et al. Anterosuperior dislocation of the shoulder joint in an older patient with Parkinson's disease. Kobe J Med Sci 2009;54:E237-40.