Sword-Like Trauma to the Shoulder with Open Head-Splitting Fracture of the Head

Head-splitting fractures occur as a result of violent compression of the head against the glenoid; the head splits and the tuberosities may remain attached to the fragments or split and separate. Isolated humeral head-splitting fractures are rare injuries. Favorable results with osteosynthesis can b...

Full description

Saved in:
Bibliographic Details
Main Authors: Andreas Panagopoulos, Konstantinos Pantazis, Ilias Iliopoulos, Ioannis Seferlis, Zinon Kokkalis
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/3539503
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832563026764496896
author Andreas Panagopoulos
Konstantinos Pantazis
Ilias Iliopoulos
Ioannis Seferlis
Zinon Kokkalis
author_facet Andreas Panagopoulos
Konstantinos Pantazis
Ilias Iliopoulos
Ioannis Seferlis
Zinon Kokkalis
author_sort Andreas Panagopoulos
collection DOAJ
description Head-splitting fractures occur as a result of violent compression of the head against the glenoid; the head splits and the tuberosities may remain attached to the fragments or split and separate. Isolated humeral head-splitting fractures are rare injuries. Favorable results with osteosynthesis can be difficult to achieve because of the very proximal location of the head fracture and associated poor vascularity. We present a case of a 67-year-old man who sustained a severe, sword-like trauma to his left shoulder after a road traffic accident with associated isolated open Gustilo-Anderson IIIA humeral head-splitting fracture. Bony union was achieved with minimal internal fixation but the clinical outcome deteriorated due to accompanying axillary nerve apraxia. To our knowledge, this type of sword-like injury with associated humeral head-split fracture has not previously been reported.
format Article
id doaj-art-7ac3b510c24540e68ef2970721f48ccd
institution Kabale University
issn 2090-6749
2090-6757
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-7ac3b510c24540e68ef2970721f48ccd2025-02-03T01:21:16ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/35395033539503Sword-Like Trauma to the Shoulder with Open Head-Splitting Fracture of the HeadAndreas Panagopoulos0Konstantinos Pantazis1Ilias Iliopoulos2Ioannis Seferlis3Zinon Kokkalis4Department of Shoulder & Elbow Surgery, Patras University Hospital, Papanikolaou 1, 26504 Patras, GreeceDepartment of Shoulder & Elbow Surgery, Patras University Hospital, Papanikolaou 1, 26504 Patras, GreeceDepartment of Shoulder & Elbow Surgery, Patras University Hospital, Papanikolaou 1, 26504 Patras, GreeceDepartment of Shoulder & Elbow Surgery, Patras University Hospital, Papanikolaou 1, 26504 Patras, GreeceDepartment of Shoulder & Elbow Surgery, Patras University Hospital, Papanikolaou 1, 26504 Patras, GreeceHead-splitting fractures occur as a result of violent compression of the head against the glenoid; the head splits and the tuberosities may remain attached to the fragments or split and separate. Isolated humeral head-splitting fractures are rare injuries. Favorable results with osteosynthesis can be difficult to achieve because of the very proximal location of the head fracture and associated poor vascularity. We present a case of a 67-year-old man who sustained a severe, sword-like trauma to his left shoulder after a road traffic accident with associated isolated open Gustilo-Anderson IIIA humeral head-splitting fracture. Bony union was achieved with minimal internal fixation but the clinical outcome deteriorated due to accompanying axillary nerve apraxia. To our knowledge, this type of sword-like injury with associated humeral head-split fracture has not previously been reported.http://dx.doi.org/10.1155/2016/3539503
spellingShingle Andreas Panagopoulos
Konstantinos Pantazis
Ilias Iliopoulos
Ioannis Seferlis
Zinon Kokkalis
Sword-Like Trauma to the Shoulder with Open Head-Splitting Fracture of the Head
Case Reports in Orthopedics
title Sword-Like Trauma to the Shoulder with Open Head-Splitting Fracture of the Head
title_full Sword-Like Trauma to the Shoulder with Open Head-Splitting Fracture of the Head
title_fullStr Sword-Like Trauma to the Shoulder with Open Head-Splitting Fracture of the Head
title_full_unstemmed Sword-Like Trauma to the Shoulder with Open Head-Splitting Fracture of the Head
title_short Sword-Like Trauma to the Shoulder with Open Head-Splitting Fracture of the Head
title_sort sword like trauma to the shoulder with open head splitting fracture of the head
url http://dx.doi.org/10.1155/2016/3539503
work_keys_str_mv AT andreaspanagopoulos swordliketraumatotheshoulderwithopenheadsplittingfractureofthehead
AT konstantinospantazis swordliketraumatotheshoulderwithopenheadsplittingfractureofthehead
AT iliasiliopoulos swordliketraumatotheshoulderwithopenheadsplittingfractureofthehead
AT ioannisseferlis swordliketraumatotheshoulderwithopenheadsplittingfractureofthehead
AT zinonkokkalis swordliketraumatotheshoulderwithopenheadsplittingfractureofthehead