Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2015 / Cilt: 21 - Sayı: 2

Politravmanın eşlik ettiği humerus başının intratorasik dislokasyonu: Nasıl tedavi edilir?

Intrathoracic dislocation of the humeral head accompanied by polytrauma: How to treat it?

Pages
149–151
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Hemodynamic stability, systematic evaluation, removal of the humeral head, and individual shoulder reconstruction are recommended for these patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:High-energy trauma to the shoulder is associated with multiple injuries and is often difficult to evaluate.
📊
Key Findings & Data:One of these complex traumas is the displacement of the humeral head into the thoracic cavity.
💡
Conclusion & Impact:Hemodynamic stability, systematic evaluation, removal of the humeral head, and individual shoulder reconstruction are recommended for these patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

High-energy trauma to the shoulder is associated with multiple injuries and is often difficult to evaluate. One of these complex traumas is the displacement of the humeral head into the thoracic cavity. This study aimed to report a patient who presented after falling three floors. Initially, the patient underwent chest drainage and thoracoscopy to remove the displaced humeral head and, subsequently, underwent delayed artificial humeral head replacement. Hemodynamic stability, systematic evaluation, removal of the humeral head, and individual shoulder reconstruction are recommended for these patients.

Özet

Omuzun yüksek enerjili travmaları çoklu yaralanmalarla ilişkili olduğundan değerlendirmesi sıklıkla zordur. Bu kompleks travmalardan biri de hu-merus başının toraks boşluğu içine deplasmanıdır. Üçüncü kattan düştükten sonra başvuran bir hastayı tanımlamaktayız. İlk önce deplase olmuş humerus başını çıkartmak için kadın hastaya toraks drenajı ve torakoskopi yapılmış, daha sonra hastaya geç dönemde yapay humerus başı replasmanı uygulanmıştır. Bu hastalar için hemodinamik stabilite, sistematik değerlendirme, humerus başının çıkartılması ve bireye uygun omuz rekonstrüksi-yonu önerilmektedir.

🔖

Cite This Article

CHEN, J., YAN, J., WANG, S., ZHONG, H., ZHOU, H., SECOND, T. (2015). Politravmanın eşlik ettiği humerus başının intratorasik dislokasyonu: Nasıl tedavi edilir?. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 21 - Sayı: 2, 149–151. https://ajindex.com/articles/323807

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (3)

  1. Patel MR, Pardee ML, Singerman RC. Intrathoracic dislocation of the head of the humerus. J Bone Joint Surg Am 1963;45:1712-4.
  2. Salhiyyah K, Potter D, Sarkar PK. Fracture-dislocation of humeral head with intrathoracic displacement. Asian Cardiovasc Thorac Ann;20:196-8.
  3. Eberson CP, Ng T, Green A. Contralateral intrathoracic displacement of the humeral head. A case report. J Bone Joint Surg Am 2000;82:105-8. 4. Abbott GF, Gaissert H, Faberman RS. Contralateral intrathoracic mi-gration of humeral head fracture dislocation. AJR Am J Roentgenol 1999;172:1403-4. 5. Wirth MA, Jensen KL, Agarwal A, Curtis RJ, Rockwood CA Jr. Frac-ture-dislocation of the proximal part of the humerus with retroperitoneal displacement of the humeral head: A case report. J Bone Joint Surg Am 1997;79:763-6. 6. Abellan JF, Melendreras E, Gimenez DJ, Carrillo FJ, Ruano L, Rivkin J. Intrathoracic fracture-dislocation of the humeral head: A case report. J Orthop Surg (Hong Kong) 2010;18:254-7. 7. Kaar TK, Rice JJ, Mullan GB. Fracture-dislocation of the shoulder with intrathoracic displacement of the humeral head. Injury 1995;26:638-9. 8. Harman BD, Miller NG, Probe RA. Intrathoracic humeral head frac-ture-dislocation. J Orthop Trauma 2004;18:112-5. 9. Kocer B, Gulbahar G, Aktekin CN, Gunal N, Birinci B, Dural K, et al. Intrathoracic humeral head fracture-dislocation: Is removal of the hu-meral head necessary? Ann Thorac Surg 2007;84:1371-2 10. Griffin NC, Temes RT, Gill IS, Rice TW. Intrathoracic displacement of a fractured humeral head. Ann Thorac Surg 2007;84:1400. 11. Maroney SS, Devinney DS. Intrathoracic fracture-dislocation of the proximal humerus treated with reverse total shoulder arthroplasty. Or-thopedics 2009;32:924. 12. Anderson M, Rose P, Jacofsky DJ, Torchia ME, Dahm DL.Intrathoracic fracture- dislocation of the proximal humerus: A case report and report of a new surgical technique. J Trauma 2007;63:920-3. 13. Hardcastle PH, Fisher TR. Intrathoracic displacement of the humeral head with fracture of the surgical neck. Injury 1981;12:313-5. 14. Wirth MA, Jensen KL, Agarwal A, Curtis RJ, Rockwood CA Jr. Frac-ture-dislocation of the proximal part of the humerus with retroperitoneal displacement of the humeral head: A case report. J Bone Joint Surg Am 1997;79:763-6. 15. Argekar HG, Dharap S, Kale A, Ghag G. Intrathoracic dislocation of humeral head: A case report. J Maharashtra Orthopaedic Association 2012;7:18-21