Intrathoracic Displacement of the Humeral Head with Polytrauma: Case Report
Intrathoracic displacement of the humeral head is rarely documented due to high mortality of the trauma. As a result, there is no clear consensus about how such case should be approached. In this report we reviewed our successful case, and reviewed the literature. The patient arrived after car acci...
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2024-03-01
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| Series: | Lietuvos Chirurgija |
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| Online Access: | https://www.zurnalai.vu.lt/lietuvos-chirurgija/article/view/33509 |
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| author | Kipras Sasnauskas Robert Vrublevski Povilas Masionis Sigitas Ryliškis |
| author_facet | Kipras Sasnauskas Robert Vrublevski Povilas Masionis Sigitas Ryliškis |
| author_sort | Kipras Sasnauskas |
| collection | DOAJ |
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Intrathoracic displacement of the humeral head is rarely documented due to high mortality of the trauma. As a result, there is no clear consensus about how such case should be approached. In this report we reviewed our successful case, and reviewed the literature. The patient arrived after car accident with a broken humerus and upon taking X-ray found to have the humeral head lodged in the chest cavity. After humeral head removal and arthroplasty, patient was discharged without complications. In literature several cases were found in which a patient usually suffers because of high energy trauma with arm typically in abducted position. In all cases treatment involves removing humeral fragment from chest and prosthetic arthroplasty of the glenohumeral joint. Although some authors suggest leaving humeral fragment in some cases while others suggest to always remove. Exact indications of such decision are unclear. Cases like this pose a high risk of neurological and circulatory complications, although no complications were observed in this case. Nevertheless, there have been too few similar cases described to establish a proper methodology.
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| format | Article |
| id | doaj-art-634989f1e79e49c9a4721b27159721ed |
| institution | Kabale University |
| issn | 1392-0995 1648-9942 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Lietuvos Chirurgija |
| spelling | doaj-art-634989f1e79e49c9a4721b27159721ed2025-02-11T18:11:56ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422024-03-0123110.15388/LietChirur.2024.23(1).8Intrathoracic Displacement of the Humeral Head with Polytrauma: Case ReportKipras Sasnauskas0Robert Vrublevski1Povilas Masionis2Sigitas Ryliškis3Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, Lithuania Intrathoracic displacement of the humeral head is rarely documented due to high mortality of the trauma. As a result, there is no clear consensus about how such case should be approached. In this report we reviewed our successful case, and reviewed the literature. The patient arrived after car accident with a broken humerus and upon taking X-ray found to have the humeral head lodged in the chest cavity. After humeral head removal and arthroplasty, patient was discharged without complications. In literature several cases were found in which a patient usually suffers because of high energy trauma with arm typically in abducted position. In all cases treatment involves removing humeral fragment from chest and prosthetic arthroplasty of the glenohumeral joint. Although some authors suggest leaving humeral fragment in some cases while others suggest to always remove. Exact indications of such decision are unclear. Cases like this pose a high risk of neurological and circulatory complications, although no complications were observed in this case. Nevertheless, there have been too few similar cases described to establish a proper methodology. https://www.zurnalai.vu.lt/lietuvos-chirurgija/article/view/33509dislocationhumerusarthroplastyshoulder |
| spellingShingle | Kipras Sasnauskas Robert Vrublevski Povilas Masionis Sigitas Ryliškis Intrathoracic Displacement of the Humeral Head with Polytrauma: Case Report Lietuvos Chirurgija dislocation humerus arthroplasty shoulder |
| title | Intrathoracic Displacement of the Humeral Head with Polytrauma: Case Report |
| title_full | Intrathoracic Displacement of the Humeral Head with Polytrauma: Case Report |
| title_fullStr | Intrathoracic Displacement of the Humeral Head with Polytrauma: Case Report |
| title_full_unstemmed | Intrathoracic Displacement of the Humeral Head with Polytrauma: Case Report |
| title_short | Intrathoracic Displacement of the Humeral Head with Polytrauma: Case Report |
| title_sort | intrathoracic displacement of the humeral head with polytrauma case report |
| topic | dislocation humerus arthroplasty shoulder |
| url | https://www.zurnalai.vu.lt/lietuvos-chirurgija/article/view/33509 |
| work_keys_str_mv | AT kiprassasnauskas intrathoracicdisplacementofthehumeralheadwithpolytraumacasereport AT robertvrublevski intrathoracicdisplacementofthehumeralheadwithpolytraumacasereport AT povilasmasionis intrathoracicdisplacementofthehumeralheadwithpolytraumacasereport AT sigitasryliskis intrathoracicdisplacementofthehumeralheadwithpolytraumacasereport |