A Case Report of Isolated Posterior Fracture Dislocation of Anatomical Neck of Humerus
- *Corresponding Author:
- Babak Siavashi
Assistant Professor of
Tehran University of Medical Sciences
Sina Hospital, Tehran, Iran
E mail: [email protected]
Received Date: November 14, 2011; Accepted Date: May 25, 2012; Published Date: May 28, 2012
Citation: Siavashi B, Golbakhsh MR (2012) A Case Report of Isolated Posterior Fracture Dislocation of Anatomical Neck of Humerus. Orthop Muscul Syst 1: 116. doi: 10.4172/2161-0533.1000116
Copyright: © 2012 Siavashi B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Fracture dislocation of anatomical neck of humerus is an extremly rare fracture. So, the best
treatment for it and long term results are not well established. It is our duty to report each case of it to make material
for a greater study.
Material and method: A 27 years old man who is a victim of car accident is presented with shoulder and pelvic
pain. In X- ray, there was a hollow glenoid and in CT scan, the fractured anatomical head is rotated and angulated
posterior to glenoid (Figure 1). It was treated with hemiarthroplasty of shoulder.
Results: By deltopectoral approach, we can remove head fragment and because there was no enough bone in
subchondral region, we didn’t fix it and exchange it with cemented hemiarthroplasty of involved shoulder.
Discussion: Because of complete dislocation of anatomical head of humerus and no soft tissue attachment to
it, avascular necrosis of head of humerus can be highly anticipated. So, we choose hemiarthroplasty for him and we
think because tuberosities are not detached, function will be good.