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Rare disease
CASE REPORT
Acute locked superior shoulder dislocation in a patient with cuff tear arthropathy
  1. Fabian Plachel1,2,
  2. Gundobert Korn2,
  3. Sejla Abdic2,
  4. Philipp Moroder1
  1. 1Center for Musculoskeletal Surgery, Charite Universitatsmedizin Berlin Campus Virchow-Klinikum, Berlin, Germany
  2. 2Department of Orthopedics and Traumatology, Landeskrankenhaus Salzburg - Universitatsklinikum der Paracelsus Medizinischen Privatuniversitat, Salzburg, Austria
  1. Correspondence to Dr Philipp Moroder, philipp.moroder{at}charite.de

Summary

In the field of traumatic shoulder dislocations, this report of a 61-year-old female patient discusses the case of an acute locked superior shoulder dislocation in conjunction with a chronic rotator cuff arthropathy resulting from a low-energy fall on the outstretched and abducted arm. Radiological assessment revealed a complex combination of associated bony injuries including a fracture of the upper part of the glenoid and an impaction fracture of the inferior articular surface of the humeral head. Closed reduction and immobilisation were not successful in obtaining joint stability. This unique report highlights the clinical importance of accurate management of bony injuries in traumatic shoulder dislocation.

  • rotator cuff tears
  • shoulder instability

https://doi.org/10.1136/bcr-2018-225237

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    Footnotes

    • Contributors All listed authors contributed substantially to this work. FP, GK and PM for the study conception and design. FP and SA for the data collection. FP and PM for the data analysis. FP, GK and PM for the data interpretation. FP, SA and PM for the drafting of the manuscript, the figures and the literature research.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.