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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Reconstruction of a missed posterior locked shoulder fracture-dislocation with bone graft and lesser tuberosity transfer: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Reconstruction of a missed posterior locked shoulder fracture-dislocation with bone graft and lesser tuberosity transfer a case report Byron E Chalidis Pericles P Papadopoulos and Christos G Dimitriou Address Orthopaedic Department of Hippokration General Hospital Konstantinoupoleos Street 54642 Thessaloniki Greece Email Byron E Chalidis - byronchalidis@gmail.com Pericles P Papadopoulos - perpap@otenet.gr Christos G Dimitriou - chgdim@otenet.gr Corresponding author Published 5 August 2008 Received 10 March 2008 Journal of Medical Case Reports 2008 2 260 doi l0.ll86 l752-l947-2-260 Accepted 5 August 2008 This article is available from http www.jmedicalcasereports.cOm content 2 l 260 2008 Chalidis et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Posterior shoulder fracture-dislocation is a rare emergency condition with poor prognosis when there is a delay in diagnosis and presence of associated injuries. Case presentation We present a case of a neglected four-part fracture-dislocation of the proximal humerus in a 34-year-old Greek woman. Except from the substantially displaced and comminuted tuberosity fractures an anterolateral defect of approximately 50 of the articular surface was apparent. Open reduction of the humeral head was followed by reconstruction of the proximal humerus with allograft impaction transfer of lesser tuberosity to the humeral defect and anatomic fixation of the greater tuberosity and humeral neck fractures. At two and a half years postoperatively the humeral head was revascularised and properly articulated with the glenoid fossa. Conclusion The presented case underlines the variability of injury pattern .
