DOI QR코드

DOI QR Code

Traumatic Posterior Dislocation of the Shoulder with Ipsilateral Humeral Surgical Neck Fracture in a Child - A Case Report -

소아에서 동측 상완골 외과적 경부 골절을 동반한 외상성 견관절 후방 탈구 - 증례 보고 -

  • Kang, Suk (Department of Orthopedic Surgery, Dongguk University College of Medicine) ;
  • Chung, Phil-Hyun (Department of Orthopedic Surgery, Dongguk University College of Medicine) ;
  • Kim, Jong-Pil (Department of Orthopedic Surgery, Dongguk University College of Medicine) ;
  • Kim, Young-Sung (Department of Orthopedic Surgery, Dongguk University College of Medicine) ;
  • Lee, Ho-Min (Department of Orthopedic Surgery, Dongguk University College of Medicine) ;
  • Kim, Jong-Hyun (Department of Orthopedic Surgery, Dongguk University College of Medicine)
  • 강석 (동국대학교 의과대학 경주병원 정형외과학교실) ;
  • 정필현 (동국대학교 의과대학 경주병원 정형외과학교실) ;
  • 김종필 (동국대학교 의과대학 경주병원 정형외과학교실) ;
  • 김영성 (동국대학교 의과대학 경주병원 정형외과학교실) ;
  • 이호민 (동국대학교 의과대학 경주병원 정형외과학교실) ;
  • 김종현 (동국대학교 의과대학 경주병원 정형외과학교실)
  • Received : 2010.10.27
  • Accepted : 2011.04.01
  • Published : 2011.06.30

Abstract

Purpose: Traumatic posterior dislocation of the shoulder in a child is extremely rare, and posterior dislocation of the shoulder concomitant with ipsilateral humeral surgical neck fracture has not been reported in a child previously in Korea. Materials and Methods: The authors treated a 10-year-old with posterior dislocation of left shoulder and an ipsilateral humeral surgical neck fracture, that occurred during Taekwondo practice, by open reduction of the shoulder and pin fixation under general anesthesia. Results: A normal range of motion with complete union and good remodeling was achieved without redislocation or avascular necrosis of humeral head at 1 year after surgery. Conclusion: The authors report a successfully treated case of traumatic posterior dislocation of the shoulder with an ipsilateral humeral surgical neck fracture in child.

목적: 소아에서 외상으로 발생하는 견관절 후방 탈구는 극히 드문 손상이며 상완골 외과적 경부 골절이 동반된 경우는 국내에서 현재까지 문헌상 아직 보고된 증례가 없다. 대상 및 방법: 태권도 운동 중 수상하여 좌측 견관절 후방 탈구 및 동측 상완골 외과적 경부 골절로 내원한 10세 소아에서 전신 마취하에 개방성 정복 및 핀 고정술을 시행하였다. 결과: 수술 후 1년 추시 상 재탈구 및 상완골 두 무혈성 괴사의 합병증 없이 운동 범위의 완전 회복과 골유합 및 재형성을 얻었다. 결론: 소아에서 견관절 후방 탈구와 상완골 외과적 경부 골절을 동반한 증례를 수술적 치료로 좋은 결과를 얻어 문헌 고찰과 함께 보고하고자 한다.

Keywords

References

  1. Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg Am. 1956;38:957-77.
  2. Wagner KT, Lyne ED. Adolescent traumatic dislocation of the shoulder with open physis. J Pediatr Orthop. 1983;3:61-2. https://doi.org/10.1097/01241398-198302000-00010
  3. Obremskey W, Routt ML. Fracture-dislocation of the shoulder in a child: a case report. J Trauma. 1994; 36:137-40. https://doi.org/10.1097/00005373-199401000-00027
  4. Nicastro JF, Adair DM. Fracture-dislocation of the in a 32 month-old child. J Pediatr Orthop. 1982;2:427-9. https://doi.org/10.1097/01241398-198210000-00015
  5. Winmoon C, Sathira-Angkura V, Kunakornsawat S, Prasartritha T. Fracture-dislocation of the glenohumeral joint in a 2-year-old child: case report. J Trauma. 2003;54:372-5. https://doi.org/10.1097/01.TA.0000032984.86439.46
  6. Cohn BT, Froimson AI. Salter II fracture dislocation of glenohumeral joint in a 10 year old. Orthop Rev. 1986;15:403-4.
  7. Gregg-Smith SJ, White SH. Salter-Harris III fracture- dislocation of the proximal humeral epiphysis. Injury. 1992;23:199-200. https://doi.org/10.1016/S0020-1383(05)80047-6
  8. Lee SH, Lee DH, Baek JR. Proximal humerus Salter type III physeal injury with posterior dislocation. Arch Orthop Trauma Surg. 2007;127:143-6. https://doi.org/10.1007/s00402-006-0135-4
  9. Asher MA. Dislocations of the upper extremity in children. Orthop Clin North Am. 1976;7:583-91.
  10. Hovelius L. Anterior dislocation of the shoulder in teen-agers and young adults: five-year prognosis. J Bone Joint Surg Am. 1987;69:393-9.

Cited by

  1. Glenohumeral dislocation with a proximal humerus physeal fracture vol.24, pp.5, 2015, https://doi.org/10.1097/BPB.0000000000000201