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

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Case Reports in Orthopedics - Volume 2016 2016, Article ID 3539503, 5 pages -

Case ReportDepartment of Shoulder and Elbow Surgery, Patras University Hospital, Papanikolaou 1, 26504 Patras, Greece

Received 12 May 2016; Accepted 9 June 2016

Academic Editor: Byron Chalidis

Copyright © 2016 Andreas Panagopoulos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.

Autor: Andreas Panagopoulos, Konstantinos Pantazis, Ilias Iliopoulos, Ioannis Seferlis, and Zinon Kokkalis

Fuente: https://www.hindawi.com/


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