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One-step Bilateral Reverse Shoulder Replacement for Posterior Fracture-dislocation in a Young Alcoholic
INTRODUCTION: Bilateral posterior fracture-dislocations of the shoulders occur quite rarely. To the best of our knowledge, this is the first case happening to a young man subjected with bilateral reverse shoulder replacement surgery in a one-step procedure. CASE REPORT: The authors present the case...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826567/ https://www.ncbi.nlm.nih.gov/pubmed/36660149 http://dx.doi.org/10.13107/jocr.2022.v12.i05.2794 |
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author | Vitali, Matteo Bettinelli, Giulia Montalbano, Filippo Salini, Vincenzo |
author_facet | Vitali, Matteo Bettinelli, Giulia Montalbano, Filippo Salini, Vincenzo |
author_sort | Vitali, Matteo |
collection | PubMed |
description | INTRODUCTION: Bilateral posterior fracture-dislocations of the shoulders occur quite rarely. To the best of our knowledge, this is the first case happening to a young man subjected with bilateral reverse shoulder replacement surgery in a one-step procedure. CASE REPORT: The authors present the case of a Caucasian, 49, alcoholic, male affected by bilateral proximal humeral fracture with posterior dislocation, provoked by an epileptic seizure, and admitted to our hospital. The patient underwent one-step bilateral reverse total shoulder replacement surgery, due the comminution of the fracture and osteopenic pattern. He carried bilateral slings for 1 month after surgery, and after the post-operative radiological evaluation at 1 month, he started with progressive active physiotherapy. CONCLUSION: Opting for a total replacement instead of osteosynthesis is a valuable option in patients presenting with dislocation-comminuted fractures and alcohol intake induced osteoporosis, even if young. |
format | Online Article Text |
id | pubmed-9826567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-98265672023-01-18 One-step Bilateral Reverse Shoulder Replacement for Posterior Fracture-dislocation in a Young Alcoholic Vitali, Matteo Bettinelli, Giulia Montalbano, Filippo Salini, Vincenzo J Orthop Case Rep Case Report INTRODUCTION: Bilateral posterior fracture-dislocations of the shoulders occur quite rarely. To the best of our knowledge, this is the first case happening to a young man subjected with bilateral reverse shoulder replacement surgery in a one-step procedure. CASE REPORT: The authors present the case of a Caucasian, 49, alcoholic, male affected by bilateral proximal humeral fracture with posterior dislocation, provoked by an epileptic seizure, and admitted to our hospital. The patient underwent one-step bilateral reverse total shoulder replacement surgery, due the comminution of the fracture and osteopenic pattern. He carried bilateral slings for 1 month after surgery, and after the post-operative radiological evaluation at 1 month, he started with progressive active physiotherapy. CONCLUSION: Opting for a total replacement instead of osteosynthesis is a valuable option in patients presenting with dislocation-comminuted fractures and alcohol intake induced osteoporosis, even if young. Indian Orthopaedic Research Group 2022 2022-05 /pmc/articles/PMC9826567/ /pubmed/36660149 http://dx.doi.org/10.13107/jocr.2022.v12.i05.2794 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 Vitali, Matteo Bettinelli, Giulia Montalbano, Filippo Salini, Vincenzo One-step Bilateral Reverse Shoulder Replacement for Posterior Fracture-dislocation in a Young Alcoholic |
title | One-step Bilateral Reverse Shoulder Replacement for Posterior Fracture-dislocation in a Young Alcoholic |
title_full | One-step Bilateral Reverse Shoulder Replacement for Posterior Fracture-dislocation in a Young Alcoholic |
title_fullStr | One-step Bilateral Reverse Shoulder Replacement for Posterior Fracture-dislocation in a Young Alcoholic |
title_full_unstemmed | One-step Bilateral Reverse Shoulder Replacement for Posterior Fracture-dislocation in a Young Alcoholic |
title_short | One-step Bilateral Reverse Shoulder Replacement for Posterior Fracture-dislocation in a Young Alcoholic |
title_sort | one-step bilateral reverse shoulder replacement for posterior fracture-dislocation in a young alcoholic |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826567/ https://www.ncbi.nlm.nih.gov/pubmed/36660149 http://dx.doi.org/10.13107/jocr.2022.v12.i05.2794 |
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