Abstract

Delayed presentation of four part fracturedislocation of shoulder - reduction techniques

Highlights

  • Complex fracture dislocation of shoulder are only rarely encountered

  • Recent studies have shown that prevalence of these complications are lower than previously appreciated[11,12,13,14,15,16,17,18], while others have shown that the functional results after arthroplasty maybe poorer than those achieved by successful open reduction and internal fixation

  • The purpose of this study is to evaluate the feasibility of various reduction techniques in managing complex anterior and posterior fracture dislocations of shoulder

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Summary

Introduction

Complex fracture dislocation of shoulder are only rarely encountered Most of these cases present late because of missed diagnosis predisposing the humeral head to risk of avascular necrosis. Fixation of these fractures involve further damage to the vascularity of these fragments. Simple instruments like Schanz pin and Hohmann’s retractor can aid in easy reduction of these fragments so that the risk of avascular necrosis is reduced. The common problem associated with both anterior as well as posterior fracture dislocations is partial or total avascular necrosis of head fragment. Recent studies have shown that prevalence of these complications are lower than previously appreciated[11,12,13,14,15,16,17,18], while others have shown that the functional results after arthroplasty maybe poorer than those achieved by successful open reduction and internal fixation

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