Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion

Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion

Authors

  • Gabriele Gazzotti Arcispedale Santa Maria Nuova Reggio Emilia
  • Luigi Patrizio Arcispedale Santa Maria Nuova Reggio Emilia
  • Stefania Bondioli Arcispedale Santa Maria Nuova Reggio Emilia
  • Edoardo Scaravella Arcispedale Santa Maria Nuova Reggio Emilia
  • Ettore Sabetta Arcispedale Santa Maria Nuova Reggio Emilia

Keywords:

fracture dislocation humeral head, coracoid avulsion

Abstract

racture-dislocation of the proximal humerus (usually occurring after violent trauma) may be more frequently associated with a poor long-term results because the destruction of the hinged periosteum is associated with an high-risk of avascular necrosis of the head of the humerus (1, 2). Concomitant coracoid fracture with anterior shoulder dislocation in such case is something extremely rarely reported (8). Herein, we describe a challenging case of a 44 years old man with 4-parts fracture of the right proximal humerus, dislocation of the glenohumeral joint associated with coracoid avulsion. Considering the severe functional damage on the right shoulder, the patient was immediately treated with open reduction internal fixation (ORIF) at the level of the proximal humerus and with the concomitant placement of one screw at the level of coracoid avulsion. At a 15 months follow up we observed an excellent clinical and radiographic results. We take the opportunity of this unusual case for briefly discuss on such clinical condition and surgical options. (www.actabiomedica.it)

Author Biography

Gabriele Gazzotti, Arcispedale Santa Maria Nuova Reggio Emilia

Orthopaedic traumatology

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Published

27-04-2015

How to Cite

1.
Gazzotti G, Patrizio L, Bondioli S, Scaravella E, Sabetta E. Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion. Acta Biomed [Internet]. 2015 Apr. 27 [cited 2024 Jul. 13];86(1):106-10. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/3766