Bilateral posterior four-part fracture-dislocation of the shoulder. 1995

C Martens, and G Hessels
University Hospital of Gent, Department of Orthopedics and Traumatology, Belgium.

A case of a bilateral posterior four-part fracture dislocation of the shoulder after a convulsive seizure was treated conservatively on one side, while the other shoulder was replaced by a hemiarthroplasty. A review of the literature and a treatment protocol for managing these injuries are presented. In four-part fracture-dislocations good results can be achieved with conservative treatment, but when avascular necrosis is likely to occur (delay in diagnosis or dubious relationship of the fragments after reduction) it is better to replace the humeral head.

UI MeSH Term Description Entries
D007595 Joint Prosthesis Prostheses used to partially or totally replace a human or animal joint. (from UMDNS, 1999) Joint Prostheses,Prostheses, Joint,Prosthesis, Joint
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001858 Bone Nails Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones. Bone Pins,Bone Nail,Bone Pin,Nail, Bone,Nails, Bone,Pin, Bone,Pins, Bone
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012783 Shoulder Dislocation Displacement of the HUMERUS from the SCAPULA. Glenohumeral Dislocation,Glenohumeral Subluxation,Dislocation, Glenohumeral,Dislocation, Shoulder,Dislocations, Glenohumeral,Dislocations, Shoulder,Glenohumeral Dislocations,Glenohumeral Subluxations,Shoulder Dislocations,Subluxation, Glenohumeral,Subluxations, Glenohumeral
D012784 Shoulder Fractures Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities. Humeral Fractures, Proximal,Humeral Head Fracture,Humeral Head Fracture Dislocation,Greater Tuberosity Fractures,Fracture, Greater Tuberosity,Fracture, Humeral Head,Fracture, Proximal Humeral,Fracture, Shoulder,Fractures, Shoulder,Greater Tuberosity Fracture,Head Fracture, Humeral,Humeral Fracture, Proximal,Humeral Head Fractures,Proximal Humeral Fracture,Proximal Humeral Fractures,Shoulder Fracture

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