Please use this identifier to cite or link to this item: https://scholarhub.balamand.edu.lb/handle/uob/5236
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dc.contributor.authorAyoubi, Ramien_US
dc.contributor.authorNajm, Talalen_US
dc.contributor.authorMaalouly, Josephen_US
dc.contributor.authorAouad, Danyen_US
dc.contributor.authorKanj, Vladimiren_US
dc.contributor.authorEl Rassi, Georgesen_US
dc.date.accessioned2021-12-13T09:52:53Z-
dc.date.available2021-12-13T09:52:53Z-
dc.date.issued2021-
dc.identifier.urihttps://scholarhub.balamand.edu.lb/handle/uob/5236-
dc.description.abstractAnterior shoulder dislocation is the most common joint dislocation, unreducible dislocations however are a rare occurrence. The causes of the irreducibility vary, with interposition of soft tissues or bony fragments within the glenohumeral joint being the usual culprits. We present the case of an irreducible anterior shoulder dislocation with concomitant greater and lesser tuberosity fractures, with interposition of the subscapularis and lesser tuberosity thereby preventing reduction. We present the case of a 54-year-old female presenting with a left shoulder fracture dislocation after a fall from a 1.8-meter ladder. Patient was taken to the operating room after undergoing a CT scan. Attempts of closed reduction after administration of general anesthesia were unsuccessful. Open reduction and internal fixation with plate and screws was done through a deltopectoral approach. Intra-operatively, the lesser tuberosity and the subscapularis were found to be the cause of the irreducibility of the dislocation. At the latest follow up at 6 months post-op, the patient had regained a normal ROM with a good function. The vast majority of shoulder fracture dislocations are easily reducible, with only a limited number of case reports discussing irreducible fracture-dislocations. The causes of the irreducibility comprise interposition of soft tissue or bony fragments within the glenohumeral joint such as avulsed labrum or tendons, glenoid or humeral bony fragments interposition, and tensioning of nerves or tendons such as the biceps or subscapularis around the humeral head. CT scans are in our opinion very important for proper surgical planning when needed and for possible identification of an irreducible dislocation. Orthopedic surgeons should be aware that difficult closed reductions of the glenohumeral joint, whenever encountered, should raise the possibility of interposition of bony fragments or soft tissues where surgical treatment might be mandatory.en_US
dc.language.isoengen_US
dc.subjectFractureen_US
dc.subjectShoulder dislocationen_US
dc.subjectSubscapularisen_US
dc.subjectInterpositionen_US
dc.titleIrreducible anterior shoulder dislocation with interposition of the lesser tuberosity and subscapularisen_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1016/j.tcr.2021.100429-
dc.identifier.pmid33665321-
dc.identifier.scopus2-s2.0-85101305257-
dc.identifier.urlhttps://api.elsevier.com/content/abstract/scopus_id/85101305257-
dc.contributor.affiliationFaculty of Medicineen_US
dc.description.volume32en_US
dc.date.catalogued2021-12-13-
dc.description.statusPublisheden_US
dc.identifier.openURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907528/en_US
dc.relation.ispartoftextTrauma case reporten_US
Appears in Collections:Faculty of Medicine
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