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Revista Brasileira de Ortopedia

On-line version ISSN 1982-4378

Abstract

RODRIGUES, Alessandro Ulhôa; VEADO, Marco Antonio de Castro  and  MELO, Gustavus Lemos Ribeiro. Floating shoulder combined with posterior scapulohumeral dislocation. Rev. bras. ortop. [online]. 2007, vol.42, n.10, pp. 349-353. ISSN 1982-4378.  http://dx.doi.org/10.1590/S0102-36162007001000005.

A rare variation of the floating shoulder is presented, combined with a posterior glenohumeral dislocation in a male, 26 year old patient, victim of a motorcycle accident. On physical examination, he complained of pain in the left shoulder, limitation of should movements, in particular external rotation. True anteroposterior X-ray showed a fracture of the glenoid neck without joint involvement and fracture of the coracoid process. Profile, axillary X-ray and CT scan confirmed the posterior dislocation. The authors discuss the features that make this case a unique case for which open reduction and fracture fixation with a pelvic reconstruction plate were chosen. Radiological follow-up confirmed recovery of the anatomy. The fracture healed and the result is a normal, functional shoulder.

Keywords : Shoulder [pathology]; Shoulder [injuries]; Shoulder dislocation [diagnosis]; Shoulder fractures; Case reports.

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