Frontiers in surgery · 2026
Case Report: Revision surgery for a missed posterior dislocation of the humeral head in a shoulder fracture-dislocation and literature review.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hu Xin, Zheng Gang, Zhao Wei, Dong Hao, Li Jinhao, Hu Zhe, Lu Haoming, Shen Dewei, Wang Nan
Аннотация
BACKGROUND: Posterior shoulder dislocation is uncommon and therefore prone to being missed. When accompanied by a proximal humeral fracture, complex fracture lines may obscure the radiographic signs of dislocation. Inadequate standardization of the imaging workup may consequently result in inappropriate management and treatment failure.
CASE PRESENTATION: We report a young patient in whom posterior shoulder dislocation was missed at the initial assessment because axillary and scapular Y-view radiographs were not obtained and the available imaging was insufficiently interpreted. The dislocation persisted after the index operation. Revision surgery was performed on postoperative day 9 and resulted in a favorable 5-year outcome, with no radiographic evidence of humeral head avascular necrosis or post-traumatic osteoarthritis and near-complete recovery of shoulder function.
CONCLUSION: Occult posterior shoulder dislocation should be strongly suspected in patients with complex proximal humeral fractures after high-energy trauma. Obtaining axillary or scapular Y-view radiographs, together with a systematic CT-based assessment, is essential. Even after early treatment failure, targeted revision surgery combined with structured rehabilitation may still achieve a satisfactory long-term outcome in young patients.
CASE PRESENTATION: We report a young patient in whom posterior shoulder dislocation was missed at the initial assessment because axillary and scapular Y-view radiographs were not obtained and the available imaging was insufficiently interpreted. The dislocation persisted after the index operation. Revision surgery was performed on postoperative day 9 and resulted in a favorable 5-year outcome, with no radiographic evidence of humeral head avascular necrosis or post-traumatic osteoarthritis and near-complete recovery of shoulder function.
CONCLUSION: Occult posterior shoulder dislocation should be strongly suspected in patients with complex proximal humeral fractures after high-energy trauma. Obtaining axillary or scapular Y-view radiographs, together with a systematic CT-based assessment, is essential. Even after early treatment failure, targeted revision surgery combined with structured rehabilitation may still achieve a satisfactory long-term outcome in young patients.