We present a case of a 24-year-old man who suffered acute shoulder pain and subsequent inability to move his arm while lifting weights in the bench-press position. He attended A&E where he was examined and X-rays were performed. He was diagnosed with presumed pectoralis major tendon rupture and was discharged to fracture clinic the following day with analgesia. On review in clinic he was found to have a posterior shoulder dislocation and was taken to theatre for relocation under anaesthesia. This case report examines the mechanism, investigations and management of posterior shoulder dislocation.
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http://dx.doi.org/10.1136/bcr-2013-202156 | DOI Listing |
BMJ Case Rep
January 2025
Department of Orthopaedics and Spine Surgery, Military Hospital Khadki, Pune, Maharashtra, India.
A patient in his early adolescence, who was treated for T5-T6 tubercular spondylodiscitis with an un-instrumented decompression, presented at 36 months post-index surgery, for post-laminectomy instability and kyphosis, after completing his requisite antitubercular treatment. He underwent thoracic posterior instrumented kyphosis correction and anterior reconstruction, with a T5-T6 partial corpectomy and corpectomy spacer placement, through a posterior midline incision. On the second postoperative day, he started complaining of pain on the left side of his chest, abdomen and left shoulder.
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December 2024
Orthopaedics and Traumatology, Unidade Local de Saúde de Viseu Dão-Lafões, Viseu, PRT.
Reverse Hill-Sachs lesions (RHSL) are common complications associated with posterior shoulder dislocations and represent a significant challenge for preserving joint stability and function. If untreated, these compression fractures of the anteromedial humeral head can compromise the integrity of the joint, predisposing patients to recurrent instability and arthropathy. While various treatment modalities exist, achieving an anatomic reduction of the defect while preserving the articular cartilage remains a desirable outcome, particularly in acute settings.
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December 2024
Shoulder Surgery, Hospital do Trabalhador, Curitiba, BRA.
Introduction The aim of this article is to evaluate the clinical and functional outcomes of subpectoral tenodesis of the long head of the biceps (LHB) in the treatment of proximal biceps pathologies. Methods A retrospective, cross-sectional study was conducted through the analysis of medical records from 24 patients and 26 shoulders who underwent the subpectoral tenodesis technique using bone tunnels. Three patients were excluded due to insufficient data to calculate the functional scores.
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December 2024
Medical Research, Universidad Francisco Marroquín, Guatemala, GTM.
Scapular fractures are rare, typically resulting from high-energy trauma. These injuries frequently present alongside other thoracic or shoulder injuries. Patients often exhibit posterior shoulder pain, swelling, and limited range of motion, which can suggest a variety of shoulder pathologies.
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December 2024
Department of Neurosurgery, Medical Research Institute Kitano Hospital, PIIF Tazuke-Kofukai, Osaka, JPN.
Intramedullary spinal cord metastasis (ISCM) is a rare manifestation of renal cell carcinoma (RCC). A 73-year-old man presented with left shoulder pain and left upper extremity weakness for two months. Magnetic resonance imaging (MRI) revealed intramedullary and intradural extramedullary lesions at the C5 level, compressing the spinal cord from the center of the cord and the left ventral side.
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