Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion

Gabriele Gazzotti, Luigi Patrizio, Stefania Bondioli, Edoardo Scaravella, Ettore Sabetta

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Fracture-dislocation of the proximal humerus (usually occurring after violent trauma) may be more frequently associated with a poor long-term results because the destruction of the hinged periosteum is associated with an high-risk of avascular necrosis of the head of the humerus (1, 2). Concomitant coracoid fracture with anterior shoulder dislocation in such case is something extremely rarely reported (8). Herein, we describe a challenging case of a 44 years old man with 4-parts fracture of the right proximal humerus, dislocation of the glenohumeral joint associated with coracoid avulsion. Considering the severe functional damage on the right shoulder, the patient was immediately treated with open reduction internal fixation (ORIF) at the level of the proximal humerus and with the concomitant placement of one screw at the level of coracoid avulsion. At a 15 months follow up we observed an excellent clinical and radiographic results. We take the opportunity of this unusual case for briefly discuss on such clinical condition and surgical options.

Original languageEnglish
Pages (from-to)106-110
Number of pages5
JournalActa Biomedica
Volume86
Issue number1
Publication statusPublished - 2015
Externally publishedYes

Fingerprint

Humerus
Humeral Head
Shoulder Dislocation
Periosteum
Shoulder Joint
Patient Rights
Necrosis
Therapeutics
Wounds and Injuries
Fracture Dislocation

Keywords

  • Coracoid avulsion
  • Fracture dislocation humeral head

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gazzotti, G., Patrizio, L., Bondioli, S., Scaravella, E., & Sabetta, E. (2015). Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion. Acta Biomedica, 86(1), 106-110.

Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion. / Gazzotti, Gabriele; Patrizio, Luigi; Bondioli, Stefania; Scaravella, Edoardo; Sabetta, Ettore.

In: Acta Biomedica, Vol. 86, No. 1, 2015, p. 106-110.

Research output: Contribution to journalArticle

Gazzotti, G, Patrizio, L, Bondioli, S, Scaravella, E & Sabetta, E 2015, 'Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion', Acta Biomedica, vol. 86, no. 1, pp. 106-110.
Gazzotti G, Patrizio L, Bondioli S, Scaravella E, Sabetta E. Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion. Acta Biomedica. 2015;86(1):106-110.
Gazzotti, Gabriele ; Patrizio, Luigi ; Bondioli, Stefania ; Scaravella, Edoardo ; Sabetta, Ettore. / Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion. In: Acta Biomedica. 2015 ; Vol. 86, No. 1. pp. 106-110.
@article{27b4dc88498343bc9e92673cce65d737,
title = "Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion",
abstract = "Fracture-dislocation of the proximal humerus (usually occurring after violent trauma) may be more frequently associated with a poor long-term results because the destruction of the hinged periosteum is associated with an high-risk of avascular necrosis of the head of the humerus (1, 2). Concomitant coracoid fracture with anterior shoulder dislocation in such case is something extremely rarely reported (8). Herein, we describe a challenging case of a 44 years old man with 4-parts fracture of the right proximal humerus, dislocation of the glenohumeral joint associated with coracoid avulsion. Considering the severe functional damage on the right shoulder, the patient was immediately treated with open reduction internal fixation (ORIF) at the level of the proximal humerus and with the concomitant placement of one screw at the level of coracoid avulsion. At a 15 months follow up we observed an excellent clinical and radiographic results. We take the opportunity of this unusual case for briefly discuss on such clinical condition and surgical options.",
keywords = "Coracoid avulsion, Fracture dislocation humeral head",
author = "Gabriele Gazzotti and Luigi Patrizio and Stefania Bondioli and Edoardo Scaravella and Ettore Sabetta",
year = "2015",
language = "English",
volume = "86",
pages = "106--110",
journal = "Acta Biomedica de l'Ateneo Parmense",
issn = "0392-4203",
publisher = "L'Ateneo Parmense",
number = "1",

}

TY - JOUR

T1 - Successful surgical treatment of a four part fracture dislocations of the proximal humerus and coracoid avulsion

AU - Gazzotti, Gabriele

AU - Patrizio, Luigi

AU - Bondioli, Stefania

AU - Scaravella, Edoardo

AU - Sabetta, Ettore

PY - 2015

Y1 - 2015

N2 - Fracture-dislocation of the proximal humerus (usually occurring after violent trauma) may be more frequently associated with a poor long-term results because the destruction of the hinged periosteum is associated with an high-risk of avascular necrosis of the head of the humerus (1, 2). Concomitant coracoid fracture with anterior shoulder dislocation in such case is something extremely rarely reported (8). Herein, we describe a challenging case of a 44 years old man with 4-parts fracture of the right proximal humerus, dislocation of the glenohumeral joint associated with coracoid avulsion. Considering the severe functional damage on the right shoulder, the patient was immediately treated with open reduction internal fixation (ORIF) at the level of the proximal humerus and with the concomitant placement of one screw at the level of coracoid avulsion. At a 15 months follow up we observed an excellent clinical and radiographic results. We take the opportunity of this unusual case for briefly discuss on such clinical condition and surgical options.

AB - Fracture-dislocation of the proximal humerus (usually occurring after violent trauma) may be more frequently associated with a poor long-term results because the destruction of the hinged periosteum is associated with an high-risk of avascular necrosis of the head of the humerus (1, 2). Concomitant coracoid fracture with anterior shoulder dislocation in such case is something extremely rarely reported (8). Herein, we describe a challenging case of a 44 years old man with 4-parts fracture of the right proximal humerus, dislocation of the glenohumeral joint associated with coracoid avulsion. Considering the severe functional damage on the right shoulder, the patient was immediately treated with open reduction internal fixation (ORIF) at the level of the proximal humerus and with the concomitant placement of one screw at the level of coracoid avulsion. At a 15 months follow up we observed an excellent clinical and radiographic results. We take the opportunity of this unusual case for briefly discuss on such clinical condition and surgical options.

KW - Coracoid avulsion

KW - Fracture dislocation humeral head

UR - http://www.scopus.com/inward/record.url?scp=84942236852&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84942236852&partnerID=8YFLogxK

M3 - Article

C2 - 25948036

AN - SCOPUS:84942236852

VL - 86

SP - 106

EP - 110

JO - Acta Biomedica de l'Ateneo Parmense

JF - Acta Biomedica de l'Ateneo Parmense

SN - 0392-4203

IS - 1

ER -