Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_405»
«MEDICAL WRITING: CASE ABSTRACT_405»
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Mechanism of injury and
management in traumatic anterior shoulder dislocation with concomitant humeral
shaft and ipsilateral scapula fracture: a case report and review of the
Traumatic anterior dislocation of
the shoulder is an emergency and warrants urgent attention. However, it becomes
difficult to manage in cases of associated fractures of humerus and other bones
surrounding the shoulder joint. There have been reports of traumatic anterior
dislocation of the shoulder associated with humeral fractures in the literature
but the trilogy of anterior dislocation of the shoulder; humeral shaft
fracture; and scapular fracture have never been described.
We present the case of a
27-year-old south Asian man presenting with the above-mentioned injury. He was
managed with open reduction and internal fixation of the fracture and
subsequent reduction at the shoulder joint. The fracture of the scapula was
managed conservatively. Radiological union was achieved at 14 weeks with a good
range of movements at the shoulder.
Shoulder dislocation associated
with fractures of humerus and scapula occurs in rare circumstances due the
peculiar mechanism of injury. There is risk of neurovascular damage while
attempting joint reduction without fracture fixation so, in these cases, the
fracture should be addressed first and dislocation later.
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