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Simultaneous Bilateral Proximal Humeri Anterior Fracture Dislocations in a Patient with 1st Onset Seizure. A Case Report and Review of the Literature

Tan, Kelvin G., and Sathappan, S.S., and Ganesan, N.R., (2011) Simultaneous Bilateral Proximal Humeri Anterior Fracture Dislocations in a Patient with 1st Onset Seizure. A Case Report and Review of the Literature. Malaysian Orthopaedic Journal, 5 (2). pp. 37-40. ISSN 1985 2533

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Official URL: http://www.morthoj.org

Affiliations

Tan Tock Seng Hospital, Singapore

Abstract

Bilateral anterior fracture-dislocations of humeral neck in apatient with seizure are extremely rare. We describe a rarecase of a 33 -year-old Chinese gentleman who presented post seizure secondary to subdural gliosis, sequelae from aprevious subdural haematoma. Following physical examination and radiographic assessment, including a Computed Tomography scan (CT scan), Rarely fracture-dislocation of bilateral proximal humeri were diagnosed;similar fracture patterns were noted. Open reduction andinternal fixation with PHILOS proximal humeral locking plate allowed early shoulder rehabilitation.

Item Type:Journal
Keywords:Bilateral Proximal Humeri; Bilateral Humeral Necks;Anterior Fracture-dislocations; Seizure; Subdural Gliosis,Subdural Haematoma
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:12007

1. Muriel B, Stuart DP, Andrew K. Triple "E" syndrome: Bilateral locked posterior fracture dislocation of the shoulders. Neurology 2001; 56: 1403-4.

2. Neer CS. Displaced proximal humeral fractures: Classification and evaluation. J Bone Joint Surg Am 1970;52 6):1077-89.

3. Robinson CM, LAK Khan, MA Akhtar. Treatment of anterior fracture dislocations of the proximal humerus by open reduction and internal fixation. J Bone Joint Surg Br 2006; 88-B(4): 502-8.

4. Helmy N, Hintermann B. New Trends in the Treatment of Proximal Humerus Fractures. Clin Orthop Relat Res 2006; 442: 100-8.

5. Brunner F, Sommer C, Bahrs C, Heuwinkel R, Hafner C, Rillmann P, et al. Open Reduction and Internal Fixation of Proximal Humerus Fractures Using a Proximal Humeral Locked Plate: A Prospective Multicenter Analysis. J Orthop Trauma 2009; 23(3): 163-72.

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