Intrathoracic humeral head fracture-dislocation

J Orthop Trauma. 2004 Feb;18(2):112-5. doi: 10.1097/00005131-200402000-00010.


There are few cases in the medical literature documenting intrathoracic glenohumeral fracture-dislocations. A total of eight cases have been reported-two intrathoracic humerus dislocations with greater tuberosity fractures 1, 2 and six cases with intrathoracic fracture-dislocations in which the fracture involved the humeral neck. 3-8 With so few cases, treatment modalities vary, and no guidelines exist. Patients in five of the reported cases underwent surgery, 1, 3-6 while the other three were treated nonoperatively. 2, 7, 8 We present a case of a middle-aged woman involved in a high-speed motor vehicle accident who sustained an intrathoracic humeral head fracture-dislocation and underwent operative treatment.

Publication types

  • Case Reports

MeSH terms

  • Arthroplasty
  • Female
  • Fracture Fixation, Internal*
  • Fractures, Comminuted / surgery*
  • Humans
  • Humeral Fractures / diagnostic imaging
  • Humeral Fractures / surgery*
  • Intraoperative Care
  • Joint Dislocations / surgery*
  • Middle Aged
  • Multiple Trauma / surgery*
  • Rib Fractures / diagnostic imaging
  • Thorax
  • Tomography, X-Ray Computed