Acta Chir Orthop Traumatol Cech. 2022; 89(5):380-383 | DOI: 10.55095/achot2022/061
Anterior Shoulder Dislocation with Concomitant Fracture of processus coracoideus and tuberculum majus humeri - Case ReportCase report
- Orthopaedic department, Hospital Agel Skalica, Slovakia
Glenohumeral joint is the most frequently dislocated joint of the human body. Concomitant fractures of the coracoid process and tuberculum majus in humeral dislocation of the shoulder joint are rarely described. Concomitant fractures are results of a significant contraction of the surrounding muscles and rotator cuff during a cerebral paroxysm. Due to the small number of cases, the treatment of such injuries is not simple and it is based on an algorithm for treatment of isolated injuries of these anatomical structures.
In this case report, we describe a concomitant fracture of the coracoid process and tuberculum majus during an anterior shoulder dislocation in 25-year-old patient after an epileptic seizure. The injury was treated in our department surgically, with a good functional result. The absolute Constant score for the operated arm is 95 points, the relative Constant score is 97%, DASH score 0, VAS score 0.
Published: October 15, 2022 Show citation
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References
- Anavian J, Wijdicks CA, Schroder LK, Vang S, Cole PA. Surgery for scapula process fractures. Acta Orthop. 2009;80:344-350.
Go to original source...
Go to PubMed...
- Auffarth A, Mayer M, Kofler B, Hitzl W, Bogner R, Moroder P, Korn G, Koller H, Resch H. The interobserver reliability in diagnosing osseous lesions after first-time anterior shoulder dislocation comparing plain radiographs with computed tomography scans. J Shoulder Elbow Surg. 2013;22:1507-1513.
Go to original source...
Go to PubMed...
- Bartoníček J, Tuček M, Naňka O. Zlomeniny lopatky. Maxdorf, Praha, 2021.
- Bono CM, Renard R, Levine RG, Levy AS. Effect of displacement of fractures of the greater tuberosity on the mechanics of the shoulder. J Bone Joint Surg Br. 2001;83:1056-1062.
Go to original source...
- Biberthaler P, Waddell JP, Kirchhoff Ch. Fractures of the proximal humerus. Springer, 2015.
Go to original source...
- Braunstein V, Wiedemann E, Plitz W, Muensterer OJ, Mutschler W, Hinterwimmer S. Operative treatment of greater tuberosity fractures of the humerus - a biomechanical analysis. Clin Biomech. 2007;22:652-657.
Go to original source...
Go to PubMed...
- Cole PA, Gauger EM, Schroder LK. Management of scapular fractures. J Am Acad Orthop Surg. 2012;20:130-141.
Go to original source...
Go to PubMed...
- Cottias P, Bellec Y, Jeanrot C, Imbert P, Huten D, a Masmejean EH. Fractured coracoid with anterior shoulder dislocation and greater tuberosity fracture-report of a bilateral case. Acta Orthop Scand. 2000;71:95-97.
Go to original source...
Go to PubMed...
- Dai F, Xiang M, Yang JS, Chen H, Hu X, Zhang Q, Li Y. Injury mechanism of acute anterior shoulder dislocation associated with glenoid and greater tuberosity fractures: a study based on fracture morphology. Orthop Surg. 2020;12:1421-1429.
Go to original source...
Go to PubMed...
- Dussing F, Plachel F, Grossauer T, Hoffelner T, Schulz E, Keudell AV, Auffarth A, Moroder P. Anterior shoulder dislocation and concomitant fracture of the greater tuberosity. Obere Extrem. 2018;13:211-217.
Go to original source...
Go to PubMed...
- Goodier D, Maffulli N, Good CJ. Coracoid process and greater tuberosity fracture in unreduced shoulder dislocation. Injury. 1994;25:113-116.
Go to original source...
Go to PubMed...
- Goss TP, Double disruptions of the superior shoulder suspensory complex. J Orthop Trauma. 1993;7:99-106.
Go to original source...
Go to PubMed...
- Mutch J, Laflamme GY, Hagemeister N, Cikes A, Rouleau DM. A new morphological classification for greater tuberosity fractures of the proximal humerus. Bone Joint J 2014;96-B:646-651.
Go to original source...
Go to PubMed...
- Ogawa K, Matsumura N, Yoshida A, Inokuchi W. Fractures of the coracoid process: a systematic review. JSES Reviews, Reports, and Techniques. 2021;1:171-178.
Go to original source...
Go to PubMed...
- Plachel F, Schanda JE, Ortmaier R, Auffarth A, Resch H, Bogner R. The "triple dislocation fracture": anterior shoulder dislocation with concomitant fracture of the glenoid rim, greater tuberosity and coracoid process - a series of six cases. J Shoulder Elbow Surg. 2017;26:e278-e285.
Go to original source...
Go to PubMed...
- Platzer P, Thalhammer G, Oberleitner G, Kutscha-Lissberg F, Wieland T, Vecsei V, Gaebler C. Displaced fractures of the greater tuberosity: a comparison of operative and nonoperative treatment. J Trauma. 2008;65:843-848.
Go to original source...
Go to PubMed...
- Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringen EV, Sperling JW. Rockwood and Matsen's the shoulder: 5th ed., Elsevier, 2017.
- Saragaglia D, Picard F, Gérard P, Tourne Y, Leroy JM. [Anterior instability of the shoulder associated with fracture of the coracoid process. Apropos of 3 cases]. Rev Chir Orthop Reparatrice Appar Mot. 1994;80:651-655.
Go to PubMed...
- Schliemann B, Heilmann LF, Raschke MJ, Lill H, J. Katthagen C, Ellwein A. Isolated fractures of the greater tuberosity: when are they treated conservatively?: A baseline study. Obere Extrem. 2018;13:106-111.
Go to original source...
Go to PubMed...
- te Slaa RL, Verburg H, Marti RK. Fracture of the coracoid process, the greater tuberosity, and the glenoid rim after acute first-time anterior shoulder dislocation: a case report. J Shoulder Elbow Surg. 2001;10:489-492.
Go to original source...
Go to PubMed...
- van Doesburg PG, Saddy SEL, Alta TD, van Noort A, Bergen ChJA. Treatment of coracoid process fractures: a systematic review. Arch Orthop Trauma Surg. 2021;141:1091-1100.
Go to original source...
Go to PubMed...
- Verma N, Chahar D, Chawla A, Sreenivasan R, Pankaj A. Recurrent anterior instability of the shoulder associated with coracoid fracture - an unusual presentation. J Clin Orthop Trauma. 2016;7:99-102.
Go to original source...
Go to PubMed...
- White EA, Skalski MR, Patel DB, Gross JS, Tomasian A, Heckmann N, Matcuk GR. Isolated greater tuberosity fractures of the proximal humerus: anatomy, injury patterns, multimodality imaging, and approach to management. Emerg Radiol. 2018;25:235-246.
Go to original source...
Go to PubMed...