Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-Dislocation
Proximal humerus fracture-dislocations are complex injuries, particularly when there is extensive bone loss, compromised soft tissues, or failed initial treatment. We present the case of a 23-year-old male with a chronic shoulder fracture-dislocation following a fall. Initial management involved ope...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-05-01
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| Series: | Trauma Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644025000573 |
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| author | Lucas Armada Pedro Amaro Raul Alonso Luís Pires |
| author_facet | Lucas Armada Pedro Amaro Raul Alonso Luís Pires |
| author_sort | Lucas Armada |
| collection | DOAJ |
| description | Proximal humerus fracture-dislocations are complex injuries, particularly when there is extensive bone loss, compromised soft tissues, or failed initial treatment. We present the case of a 23-year-old male with a chronic shoulder fracture-dislocation following a fall. Initial management involved open reduction and internal fixation, but postoperative imaging revealed hardware failure and recurrent shoulder dislocation. The patient then underwent humeral head reconstruction using an iliac crest autograft. However, two months later, subluxation and humeral head necrosis were detected. A second reconstruction was performed using a proximal humerus allograft, which successfully restored shoulder stability and function. This case highlights the effectiveness of allogenic bone reconstruction in managing complex shoulder injuries. |
| format | Article |
| id | doaj-art-efc973d1aa354ecaa4e28167634ab85c |
| institution | Kabale University |
| issn | 2352-6440 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-efc973d1aa354ecaa4e28167634ab85c2025-08-20T03:45:02ZengElsevierTrauma Case Reports2352-64402025-05-015710118010.1016/j.tcr.2025.101180Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-DislocationLucas Armada0Pedro Amaro1Raul Alonso2Luís Pires3Hospital Beatriz Ângelo, Lisbon, PortugalHospital Beatriz Ângelo, Lisbon, Portugal; Corresponding author at: Hospital Beatriz Ângelo, Avenida Carlos Teixeira 514, 2674 Loures, Portugal.Hospital da Luz de Lisboa, Lisbon, PortugalHospital Beatriz Ângelo, Lisbon, Portugal; Hospital da Luz de Lisboa, Lisbon, PortugalProximal humerus fracture-dislocations are complex injuries, particularly when there is extensive bone loss, compromised soft tissues, or failed initial treatment. We present the case of a 23-year-old male with a chronic shoulder fracture-dislocation following a fall. Initial management involved open reduction and internal fixation, but postoperative imaging revealed hardware failure and recurrent shoulder dislocation. The patient then underwent humeral head reconstruction using an iliac crest autograft. However, two months later, subluxation and humeral head necrosis were detected. A second reconstruction was performed using a proximal humerus allograft, which successfully restored shoulder stability and function. This case highlights the effectiveness of allogenic bone reconstruction in managing complex shoulder injuries.http://www.sciencedirect.com/science/article/pii/S2352644025000573Proximal humerus fractureAllograftFracture dislocationReconstructionTrauma |
| spellingShingle | Lucas Armada Pedro Amaro Raul Alonso Luís Pires Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-Dislocation Trauma Case Reports Proximal humerus fracture Allograft Fracture dislocation Reconstruction Trauma |
| title | Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-Dislocation |
| title_full | Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-Dislocation |
| title_fullStr | Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-Dislocation |
| title_full_unstemmed | Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-Dislocation |
| title_short | Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-Dislocation |
| title_sort | proximal humerus allogenic transplant for treatment of a complex proximal humerus fracture dislocation |
| topic | Proximal humerus fracture Allograft Fracture dislocation Reconstruction Trauma |
| url | http://www.sciencedirect.com/science/article/pii/S2352644025000573 |
| work_keys_str_mv | AT lucasarmada proximalhumerusallogenictransplantfortreatmentofacomplexproximalhumerusfracturedislocation AT pedroamaro proximalhumerusallogenictransplantfortreatmentofacomplexproximalhumerusfracturedislocation AT raulalonso proximalhumerusallogenictransplantfortreatmentofacomplexproximalhumerusfracturedislocation AT luispires proximalhumerusallogenictransplantfortreatmentofacomplexproximalhumerusfracturedislocation |