Osteochondral Shearing Fracture of the Humeral Head Associated with Traumatic Anterior Shoulder Dislocation: A Case Report

Christian Spross; Jan M Farei-Campagna; Pascal Gerhard; Bernhard Jost; Piers J Yates; Li-On Lam

doi:10.2106/JBJS.CC.20.00938

Osteochondral Shearing Fracture of the Humeral Head Associated with Traumatic Anterior Shoulder Dislocation: A Case Report

JBJS Case Connect. 2021 Jul 15;11(3). doi: 10.2106/JBJS.CC.20.00938.

Authors

Christian Spross^{1

2}, Jan M Farei-Campagna^{1

2}, Pascal Gerhard², Bernhard Jost², Piers J Yates¹, Li-On Lam²

Affiliations

¹ Department of Orthopaedic Trauma, Fiona Stanley Hospital, Perth, Western Australia , Australia.
² Department of Orthopaedic Surgery and Traumatology, Kantonsspital St. Gallen, St. Gallen, Switzerland.

PMID: 34264877
DOI: 10.2106/JBJS.CC.20.00938

Abstract

Case: Osteochondral shearing fracture of the humeral head after an anterior shoulder dislocation is a condition that has rarely been reported in literature. We report a case of a large posteriorly located fragment of such a fracture in a 23-year-old man. We performed open reduction and internal fixation with resorbable pins through a deltopectoral approach and subscapularis tenotomy.

Conclusion: In our case of a large osteochondral fracture of the posterior humeral head, treatment by open reduction and internal fixation showed an excellent radiographic result at 1 year and clinical result up to 5 years postoperatively.

Publication types

Case Reports

MeSH terms

Adult
Humans
Humeral Head / diagnostic imaging
Humeral Head / surgery
Male
Open Fracture Reduction
Shoulder
Shoulder Dislocation* / complications
Shoulder Dislocation* / diagnostic imaging
Shoulder Dislocation* / surgery
Shoulder Fractures* / complications
Shoulder Fractures* / diagnostic imaging
Shoulder Fractures* / surgery
Young Adult