Abstract
Humeral Neck Fractures in Association with Traumatic Shoulder Dislocation
Highlights
Association between anterior glenohumeral dislocation and greater tuberosity fractures has been reported in literature
We believe that the presence of humeral tuberosity fracture in association with shoulder dislocation should warren the surgeon to rule out an additional fracture through the neck humerus
We hypothesized that primary open reduction and internal fixation of such fractures with minimal soft tissue stripping during surgery may help in preserving the remaining blood supply to the humeral head and decreasing the incidence of AVN
Summary
Association between anterior glenohumeral dislocation and greater tuberosity fractures has been reported in literature. Reported, the presence of undisplaced humeral neck fracture with a two-part anterior fracture dislocation. These humeral neck fractures may be missed during the primary management, and presents a risk for displacement and conversion to three part fracture dislocation during un-experienced closed reduction [3,4]. We believe that the presence of humeral tuberosity fracture in association with shoulder dislocation should warren the surgeon to rule out an additional fracture through the neck humerus. We presented shortly a series of 9 cases of humeral neck fractures in association with anterior gleno humeral dislocation and greater tuberosity fracture (OTA 11-3B) that have been treated all with open reduction and internal fixation for the associated fractures with good results after a mean follow up of 19 months
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