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

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 wit...

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Autores principales: Rana, Anurag, Singh, Sukhmin, Das, Lakshmana, Moger, Nagaraj Manju, Rathore, Lakshya Prateek, Meena, Pradeep Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422004/
https://www.ncbi.nlm.nih.gov/pubmed/34557444
http://dx.doi.org/10.13107/jocr.2021.v11.i05.2212
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author Rana, Anurag
Singh, Sukhmin
Das, Lakshmana
Moger, Nagaraj Manju
Rathore, Lakshya Prateek
Meena, Pradeep Kumar
author_facet Rana, Anurag
Singh, Sukhmin
Das, Lakshmana
Moger, Nagaraj Manju
Rathore, Lakshya Prateek
Meena, Pradeep Kumar
author_sort Rana, Anurag
collection PubMed
description 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.
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spelling pubmed-84220042021-09-22 Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion – A Case Report Rana, Anurag Singh, Sukhmin Das, Lakshmana Moger, Nagaraj Manju Rathore, Lakshya Prateek Meena, Pradeep Kumar J Orthop Case Rep Case Report 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. Indian Orthopaedic Research Group 2021-05 /pmc/articles/PMC8422004/ /pubmed/34557444 http://dx.doi.org/10.13107/jocr.2021.v11.i05.2212 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rana, Anurag
Singh, Sukhmin
Das, Lakshmana
Moger, Nagaraj Manju
Rathore, Lakshya Prateek
Meena, Pradeep Kumar
Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion – A Case Report
title Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion – A Case Report
title_full Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion – A Case Report
title_fullStr Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion – A Case Report
title_full_unstemmed Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion – A Case Report
title_short Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion – A Case Report
title_sort bilateral proximal humerus fracture with anterior shoulder dislocation and unilateral chronic bankart lesion – a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422004/
https://www.ncbi.nlm.nih.gov/pubmed/34557444
http://dx.doi.org/10.13107/jocr.2021.v11.i05.2212
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