DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20200748

Shearing osteochondral humerus fragment fixed with bio-pins

Subramaian Kanthalu Narayanan, Rajesh Sellappan, Dharmaraj .

Abstract


The fractures associated with an anterior dislocation generally reported in the literature have been Hill-Sachs lesions, avulsions of the greater tuberosity and glenoid fractures. Although literature presents many sequels of posterior shoulder subluxations, we have not come across any shearing type osteochondral fracture in the literature. In this case report we present a 24year-old male following a fall from a motorcycle, sustaining a shearing type of osteochondral fracture likely from dislocation and relocation, which we fixed using absorbable biopins.


Keywords


Osteochondral fracture, Biopins, Posterior shoulder dislocation

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References


Rouleau DM, Hebert-Davies J. Incidence of associated injury in posterior shoulder dislocation: Systematic review of the literature. J Orthop Trauma. 2012:26:246-51.

Abrams JS. Arthroscopic repair of posterior instability and reverse humeral glenohumeral ligament avulsion lesions. Orthop Clin North Am. 2003:34:475-83.

Ames JB, Millett PJ. Combined posterior osseous Bankart lesion and posterior humeral avulsion of the glenohumeral ligaments: A case report and pathoanatomic subtyping of “floating” posterior inferior glenohumeral ligament lesions. J Bone Joint Surge Am. 2011:93:118.

McLaughlin HL. Posterior dislocation of the shoulder. J Bone Joint Surge Am. 1952;24:584-90.

Choi YS, Potter HG, Scher DM. A shearing osteochondral fracture of the humeral head following an anterior shoulder dislocation in a child. HSS J. 2005:1:100-2.

Hovelius BL, Sweden G. Anterior dislocation of the shoulder in teen-agers and young adults. J Bone Joint Surge Am. 1987;69:393-9.

Hovelius L. The natural history of primary anterior dislocation of the shoulder in the young. J Orthop Sci. 1999:4:307-17.