Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion - A Case Report.

Autor:	Rana A; Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India., Singh S; Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India., Das L; Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India., Moger NM; Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India., Rathore LP; Department of Orthopaedics, Shri Lal Bahadur Shastri Government Medical College and Hospital, Mandi, Himachal Pradesh, India., Meena PK; Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic case reports [J Orthop Case Rep] 2021 May; Vol. 11 (5), pp. 72-75.
DOI:	10.13107/jocr.2021.v11.i05.2212
Abstrakt:	Introduction: Anterior shoulder dislocation is a common presentation in orthopedic emergency but a bilateral fracture dislocation is a rare entity. Only a few cases have been reported in the literature and their management is still not clear. We present a bilateral four part fracture dislocation with Bankart lesion on right side in a 48 years old. Case Report: A 48-year-old male presented with bilateral proximal humerus fracture with anterior shoulder dislocation following a seizure. He was managed with bilateral PHILOS and Latarjet procedure on right side for a chronic bony Bankart lesion. Superficial infection on left side was managed with debridement. After 1 year period patient had a satisfactory outcome with DASH score of 19.2. Conclusion: Bilateral four part proximal humerus fracture with shoulder dislocation is encountered rarely. Recurrent dislocations results in chronic glenoid bones loss which needs fixation along with fracture. Addressing both sides subsequently or in a single sitting is still debatable. Competing Interests: Conflict of Interest: Nil (Copyright: © Indian Orthopaedic Research Group.)
Databáze:	MEDLINE
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