Simultaneous anterior shoulder dislocation and Salter Harris type 2 fracture in Senegalese wrestling match

Authors

  • Ibrahima S. Camara Department of Traumatologic-Orthopaedic, Matlaboul Fawzaini regional Hospital of Touba, Cheikh Anta Diop University, Dakar, Senegal
  • Hawa L. Diallo Department of Traumatologic-Orthopaedic, Matlaboul Fawzaini regional Hospital of Touba, Cheikh Anta Diop University, Dakar, Senegal
  • Mamady S. Conde Department of Traumatologic-Orthopaedic, Matlaboul Fawzaini regional Hospital of Touba, Cheikh Anta Diop University, Dakar, Senegal
  • Mohamed Hachim Department of Traumatologic-Orthopaedic, Matlaboul Fawzaini regional Hospital of Touba, Cheikh Anta Diop University, Dakar, Senegal

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251814

Keywords:

Anterior shoulder dislocation, Fracture-separation, Proximal humerus

Abstract

Anterior shoulder dislocation with proximal humerus fracture in children is rare. We report the case of a 16 years old boy with anterior shoulder dislocation and proximal humerus fracture separation Salter Harris type 2. A 16 years old boy, right-handed, was involved in a wrestling accident. He was received for delayed left shoulder traumatism associated with a filling of the deltopectoral groove, an emptiness of the glenoid cavity without axillary nerve impairment.  Anterior shoulder dislocation with Proximal humerus fracture-separation type 2 Salter Harris was made. The dislocation was reduced through external manoeuver. A Kirschner wire fixation was done for both the fracture and the glenohumeral joint. At the last follow up, the shoulder was painless, stable, with satisfactory motion. The consolidation was obtained. Anterior shoulder dislocation with proximal humerus fracture separation Salter Harris type 2 is rare. Good management restores shoulder motion and function.

 

Metrics

Metrics Loading ...

References

Fernandez FF, Eberhardt O, Langendörfer M, Wirth T. Treatment of severely displaced proximal humeral fractures in children with retrograde elastic stable intramedullary nailing. Injury. 2008;39(12):1453-9. DOI: https://doi.org/10.1016/j.injury.2008.04.001

Hannonen J, Hyvönen H, Korhonen L, Serlo W, Sinikumpu JJ. The incidence and treatment trends of pediatric proximal humerus fractures. BMC Musculoskelet Disord. 2019;20:571. DOI: https://doi.org/10.1186/s12891-019-2948-7

Bishop JY, Flatow EL. Pediatric Shoulder Trauma. Clin Orthop. 2005;432:41-8. DOI: https://doi.org/10.1097/01.blo.0000156005.01503.43

Beaty JH, Kasser JR. Rockwood and Wilkins’ Fractures in Children. 6th ed. Lippincott Williams & Wilkins, Philadelphia; 2006: 704-715.

Troum S, Floyd WE 3rd, Waters PM. Posterior dislocation of the humeral head in infancy associated with obstetrical paralysis. A case report. JBJS. 1993;75(9):1370. DOI: https://doi.org/10.2106/00004623-199309000-00013

Beaty JH, Kasser JR. In: Beaty JH, editor. Rockwood and Wilkins’ fractures in children. Philadelphia: Lippincott Williams & Wilkins; 2006: 704-765.

Fisher NA, Newman B, Lloyd J, Mimouni F. Ultrasonographic evaluation of birth injury to the shoulder. J Perinatol Off J Calif Perinat Assoc. 1995;15(5):398-400.

Bahrs C, Zipplies S, Ochs BG, Rether J, Oehm J. Proximal Humeral Fractures in Children and Adolescents. J Pediatr Orthop. 2009;29(3):238-42. DOI: https://doi.org/10.1097/BPO.0b013e31819bd9a7

Isik M, Subasi M, Cebesoy O, Koca I, Pamukcu U. Traumatic shoulder fracture-dislocation in a 7-year-old child: a case report. J Med Case Reports. 2013;7:156.

Rowe CR. Prognosis in Dislocations of the Shoulder. JBJS. 1956;38(5):957. DOI: https://doi.org/10.2106/00004623-195638050-00001

Jin S, Cai H, Xu Y. Shoulder dislocation combined with proximal humerus fracture in children: A case report and literature review. Medicine (Baltimore). 2017;96(48):8977. DOI: https://doi.org/10.1097/MD.0000000000008977

Gedda M. Traduction française des lignes directrices CARE pour l’écriture et la lecture des études de cas. Kinésithé Rev. 2015;15:64-8. DOI: https://doi.org/10.1016/j.kine.2014.11.009

Shrader MW. Proximal humerus and humeral shaft fractures in children. Hand Clin. 2007;23:431-5. DOI: https://doi.org/10.1016/j.hcl.2007.09.002

Popkin CA, Levine WN, Ahmad CS. Evaluation and Management of Pediatric Proximal Humerus Fractures: J Am Acad Orthop Surg. 2015;23(2):77-86. DOI: https://doi.org/10.5435/JAAOS-D-14-00033

Isil M, Subasi M, Cebesoy O, Koca I, Pamukcu U. Traumatic shoulder fracturedislocation in a 7-year-old child: a case report. J Med Case Rep. 2013;7:156-8. DOI: https://doi.org/10.1186/1752-1947-7-156

Ji JH, Shafi M, Park SE, Po YP. A severely displaced metaphyseal fracture of the proximal humerus with dislocation of the shoulder in a child. Chin J Traumatol. 2014;17:54-6.

Hong S, Nho JH, Lee CJ, Kim JB, Kim B. Posterior shoulder dislocation with ipsilateral proximal humerus type 2 physeal fracture: case report. J Pediatr Orthop B. 2015;24(3):215-8. DOI: https://doi.org/10.1097/BPB.0000000000000160

Wang X, Shao J, Yang X. Closed/Open reduction and titanium elastic nails for severely displaced proximal humeral fractures in children. Int Orthop. 2014;38:107-10. DOI: https://doi.org/10.1007/s00264-013-2122-z

Binder H, Tiefenboeck TM, Payr S, Schurz M, Aldrian S, et al. Treatment of proximal humerus fractures in children and young adolescents. Wien Klin Wochenschr. 2016;128:120-4. DOI: https://doi.org/10.1007/s00508-015-0879-3

Canavese F, Athlani L, Marengo L, Rousset M, Rouel-Rabiau N. Evaluation of upperextremity function following surgical treatment of displaced proximal humerus fractures in children. J Pediatr Orthop B. 2014;23:144-9. DOI: https://doi.org/10.1097/BPB.0000000000000009

Baker C, Larson N, Shaughnessy W, Stans A, Milbrandt T. Rate of complications and subsequent shoulder complaints for non-operatively managed pediatric proximal humerus fractures. Front Surg 2020;7:48. DOI: https://doi.org/10.3389/fsurg.2020.00048

Downloads

Published

2025-06-24

How to Cite

Camara, I. S., Diallo, H. L., Conde, M. S., & Hachim, M. (2025). Simultaneous anterior shoulder dislocation and Salter Harris type 2 fracture in Senegalese wrestling match. International Journal of Research in Orthopaedics, 11(4), 900–902. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251814

Issue

Section

Case Reports