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A Unique Presentation of the Glenoid, Coracoid, and Proximal Humerus Fractures

Fractures of the proximal humerus are common injuries with a bimodal age distribution. They usually present in younger patients after high-energy trauma and in elderly patients after lower-energy trauma. Fractures of the proximal humerus are rarely associated with concomitant fractures of the glenoi...

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Autores principales: Assiotis, Angelos, Uppal, Harpal S, Rumian, Adam, Yeoh, Clarence
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339778/
https://www.ncbi.nlm.nih.gov/pubmed/37456475
http://dx.doi.org/10.7759/cureus.40358
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author Assiotis, Angelos
Uppal, Harpal S
Rumian, Adam
Yeoh, Clarence
author_facet Assiotis, Angelos
Uppal, Harpal S
Rumian, Adam
Yeoh, Clarence
author_sort Assiotis, Angelos
collection PubMed
description Fractures of the proximal humerus are common injuries with a bimodal age distribution. They usually present in younger patients after high-energy trauma and in elderly patients after lower-energy trauma. Fractures of the proximal humerus are rarely associated with concomitant fractures of the glenoid, and this is a complex injury pattern that indicates the presence of significant instability. Such injuries are usually treated surgically. Even more rarely, patients may present with proximal humerus fractures and fractures of the coracoid process. A male patient presented to our emergency department (ED) after a fall off the loading platform of his heavy goods vehicle (HGV), resulting in a right shoulder injury. During his initial assessment in ED, a computerised tomography (CT) scan demonstrated the presence of a comminuted proximal humerus fracture, a comminuted anterior glenoid wall fracture, and a coracoid process displaced fracture. Surgical fixation of all three fractures was undertaken in the same sitting. This is the first case described in the literature with a combination of the above injuries and serves as a reminder that as trauma complexity and incidence continue to increase, we should maintain a high index of diagnostic suspicion when dealing with such patients. Furthermore, we present our treatment approach for this case and the rationale behind it.
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spelling pubmed-103397782023-07-14 A Unique Presentation of the Glenoid, Coracoid, and Proximal Humerus Fractures Assiotis, Angelos Uppal, Harpal S Rumian, Adam Yeoh, Clarence Cureus Orthopedics Fractures of the proximal humerus are common injuries with a bimodal age distribution. They usually present in younger patients after high-energy trauma and in elderly patients after lower-energy trauma. Fractures of the proximal humerus are rarely associated with concomitant fractures of the glenoid, and this is a complex injury pattern that indicates the presence of significant instability. Such injuries are usually treated surgically. Even more rarely, patients may present with proximal humerus fractures and fractures of the coracoid process. A male patient presented to our emergency department (ED) after a fall off the loading platform of his heavy goods vehicle (HGV), resulting in a right shoulder injury. During his initial assessment in ED, a computerised tomography (CT) scan demonstrated the presence of a comminuted proximal humerus fracture, a comminuted anterior glenoid wall fracture, and a coracoid process displaced fracture. Surgical fixation of all three fractures was undertaken in the same sitting. This is the first case described in the literature with a combination of the above injuries and serves as a reminder that as trauma complexity and incidence continue to increase, we should maintain a high index of diagnostic suspicion when dealing with such patients. Furthermore, we present our treatment approach for this case and the rationale behind it. Cureus 2023-06-13 /pmc/articles/PMC10339778/ /pubmed/37456475 http://dx.doi.org/10.7759/cureus.40358 Text en Copyright © 2023, Assiotis et al. https://creativecommons.org/licenses/by/3.0/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.
spellingShingle Orthopedics
Assiotis, Angelos
Uppal, Harpal S
Rumian, Adam
Yeoh, Clarence
A Unique Presentation of the Glenoid, Coracoid, and Proximal Humerus Fractures
title A Unique Presentation of the Glenoid, Coracoid, and Proximal Humerus Fractures
title_full A Unique Presentation of the Glenoid, Coracoid, and Proximal Humerus Fractures
title_fullStr A Unique Presentation of the Glenoid, Coracoid, and Proximal Humerus Fractures
title_full_unstemmed A Unique Presentation of the Glenoid, Coracoid, and Proximal Humerus Fractures
title_short A Unique Presentation of the Glenoid, Coracoid, and Proximal Humerus Fractures
title_sort unique presentation of the glenoid, coracoid, and proximal humerus fractures
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339778/
https://www.ncbi.nlm.nih.gov/pubmed/37456475
http://dx.doi.org/10.7759/cureus.40358
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