A Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity Osteotomy

Posterior dislocation of the shoulder joint is a rare condition. It is often misdiagnosed owing to a lack of evident clinical features compared with anterior shoulder dislocation, and inappropriate radiological examination. We present a case of chronic posterior fracture dislocation treated with gre...

Full description

Saved in:
Bibliographic Details
Main Authors: Masashi Koide, Satoshi Tateda, Sayaka Miyasaka, Akihiro Yasuyama, Yoichi Sasaki, Mika Abe
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2024/6486750
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832546214280691712
author Masashi Koide
Satoshi Tateda
Sayaka Miyasaka
Akihiro Yasuyama
Yoichi Sasaki
Mika Abe
author_facet Masashi Koide
Satoshi Tateda
Sayaka Miyasaka
Akihiro Yasuyama
Yoichi Sasaki
Mika Abe
author_sort Masashi Koide
collection DOAJ
description Posterior dislocation of the shoulder joint is a rare condition. It is often misdiagnosed owing to a lack of evident clinical features compared with anterior shoulder dislocation, and inappropriate radiological examination. We present a case of chronic posterior fracture dislocation treated with greater tuberosity osteotomy. A 66-year-old man was injured in a fall while carrying a drone. He was referred to our hospital following 3 months of conservative treatment at a nearby clinic, without reduction of the posterior dislocation. Physical examination revealed a prominent reduction in shoulder joint range of motion and shoulder pain. Radiological examination revealed posterior shoulder dislocation associated with greater tuberosity malunion and a small bone fracture of the posterior portion of the glenoid. Open reduction and internal fixation, including greater tuberosity osteotomy, were performed. Although subluxation of the posterior dislocation persisted postoperatively, the humeral head gradually returned to its centric shoulder joint position owing to rotator cuff force coupling. At 24-month follow-up, the patient showed excellent shoulder results.
format Article
id doaj-art-ac02fda3a792463b91c339f04bbc6279
institution Kabale University
issn 2090-6757
language English
publishDate 2024-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-ac02fda3a792463b91c339f04bbc62792025-02-03T07:23:38ZengWileyCase Reports in Orthopedics2090-67572024-01-01202410.1155/2024/6486750A Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity OsteotomyMasashi Koide0Satoshi Tateda1Sayaka Miyasaka2Akihiro Yasuyama3Yoichi Sasaki4Mika Abe5Department of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryPosterior dislocation of the shoulder joint is a rare condition. It is often misdiagnosed owing to a lack of evident clinical features compared with anterior shoulder dislocation, and inappropriate radiological examination. We present a case of chronic posterior fracture dislocation treated with greater tuberosity osteotomy. A 66-year-old man was injured in a fall while carrying a drone. He was referred to our hospital following 3 months of conservative treatment at a nearby clinic, without reduction of the posterior dislocation. Physical examination revealed a prominent reduction in shoulder joint range of motion and shoulder pain. Radiological examination revealed posterior shoulder dislocation associated with greater tuberosity malunion and a small bone fracture of the posterior portion of the glenoid. Open reduction and internal fixation, including greater tuberosity osteotomy, were performed. Although subluxation of the posterior dislocation persisted postoperatively, the humeral head gradually returned to its centric shoulder joint position owing to rotator cuff force coupling. At 24-month follow-up, the patient showed excellent shoulder results.http://dx.doi.org/10.1155/2024/6486750
spellingShingle Masashi Koide
Satoshi Tateda
Sayaka Miyasaka
Akihiro Yasuyama
Yoichi Sasaki
Mika Abe
A Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity Osteotomy
Case Reports in Orthopedics
title A Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity Osteotomy
title_full A Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity Osteotomy
title_fullStr A Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity Osteotomy
title_full_unstemmed A Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity Osteotomy
title_short A Case of Neglected Posterior Fracture Dislocation of the Shoulder Treated With Greater Tuberosity Osteotomy
title_sort case of neglected posterior fracture dislocation of the shoulder treated with greater tuberosity osteotomy
url http://dx.doi.org/10.1155/2024/6486750
work_keys_str_mv AT masashikoide acaseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT satoshitateda acaseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT sayakamiyasaka acaseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT akihiroyasuyama acaseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT yoichisasaki acaseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT mikaabe acaseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT masashikoide caseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT satoshitateda caseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT sayakamiyasaka caseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT akihiroyasuyama caseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT yoichisasaki caseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy
AT mikaabe caseofneglectedposteriorfracturedislocationoftheshouldertreatedwithgreatertuberosityosteotomy