Thursday, February 21, 2013

Shoulder fracture dislocation / prosthesis

Here is a case from which we can learn.
A patient sustains a fracture dislocation.

A reduction is attempted in the ER. Substantial force was required.
The post reduction attempt x-ray shows displacement of an anatomical neck fracture that was poorly seen on the prereduction films

Subsequent treatment was with a humeral hemiarthroplasty that is now complicated by tuberosity nonunion, cuff disfunction and pseudoparalysis.


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