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 Innovative use of computer-assisted tomography in the management of an irreducible anterior shoulder dislocation

Rajpal S Nandra1, Harpal Uppal2, Gulraj Matharu2, Stuart Brooks3, Kapakuntra Srinivasan3
1 Orthopaedic Trainee, Heart of England Foundation Trust, Birmingham Heartlands Hospital, Bordesley Green East, Bordesley Green, Birmingham, United Kingdom
2 Specialist Registrar, Heart of England Foundation Trust, Birmingham Heartlands Hospital, Bordesley Green East, Bordesley Green, Birmingham, United Kingdom
3 Consultant Surgeon Trauma and Orthopaedics, Heart of England Foundation Trust, Birmingham Heartlands Hospital, Bordesley Green East, Bordesley Green, Birmingham, United Kingdom

Correspondence Address:
Rajpal S Nandra
Homeleigh, Quarry Park Road, Pedmore, Stourbridge, West Midlands, DY8 2RE
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.86245

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Year : 2011  |  Volume : 5  |  Issue : 3  |  Page : 77-80

 
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Anterior dislocation of the shoulder is a common injury which is often reduced in the emergency department, without specialist orthopedic input. We report a case of an irreducible locked anterior glenohumeral dislocation with impaction of the humeral head onto the antero-inferior glenoid rim and subsequent generation of a Hill-Sachs lesion. To our knowledge, we describe the first reported case of using computer-assisted tomography to generate a sequence of movements to safely disimpact the locked dislocation without causing further iatrogenic injury or a fracture through the humeral articular surface. This novel image-assisted closed reduction technique spared the patient from the morbidity associated with performing open reduction surgery. At 6-month follow-up, the patient reported no re-dislocations, returned to work and had excellent range of motion.






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© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06

 

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Rajpal S Nandra1, Harpal Uppal2, Gulraj Matharu2, Stuart Brooks3, Kapakuntra Srinivasan3
1 Orthopaedic Trainee, Heart of England Foundation Trust, Birmingham Heartlands Hospital, Bordesley Green East, Bordesley Green, Birmingham, United Kingdom
2 Specialist Registrar, Heart of England Foundation Trust, Birmingham Heartlands Hospital, Bordesley Green East, Bordesley Green, Birmingham, United Kingdom
3 Consultant Surgeon Trauma and Orthopaedics, Heart of England Foundation Trust, Birmingham Heartlands Hospital, Bordesley Green East, Bordesley Green, Birmingham, United Kingdom

Correspondence Address:
Rajpal S Nandra
Homeleigh, Quarry Park Road, Pedmore, Stourbridge, West Midlands, DY8 2RE
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.86245

Get Permissions

Anterior dislocation of the shoulder is a common injury which is often reduced in the emergency department, without specialist orthopedic input. We report a case of an irreducible locked anterior glenohumeral dislocation with impaction of the humeral head onto the antero-inferior glenoid rim and subsequent generation of a Hill-Sachs lesion. To our knowledge, we describe the first reported case of using computer-assisted tomography to generate a sequence of movements to safely disimpact the locked dislocation without causing further iatrogenic injury or a fracture through the humeral articular surface. This novel image-assisted closed reduction technique spared the patient from the morbidity associated with performing open reduction surgery. At 6-month follow-up, the patient reported no re-dislocations, returned to work and had excellent range of motion.






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© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06