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      Dyspnea in a case of shoulder dislocation – to beware of this rare life-threatening symptom

      case-report
      1 , 1 , 1 , * , 1
      SICOT-J
      EDP Sciences
      Shoulder dislocation, Dyspnea, Intra-thoracic migration of head of humerus

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          Abstract

          Shoulder dislocation is a common injury in orthopedic practice. In an acute presentation, closed reduction of the shoulder joint leads to an uneventful recovery. However, in the developing world neglected shoulder dislocation and treatments from quacks are not uncommon. Improper treatment and neglect can rarely become life threatening. We present one such case, emphasizing the need to investigate the symptom of dyspnea in a patient with history of shoulder dislocation.

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          Most cited references3

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          Intrathoracic displacement of a fractured humeral head due to blunt trauma.

          The incidence of a fractured humeral head penetrating into the thoracic cavity is extremely rare. A 46-year-old woman presented with moderate respiratory distress at the emergency department after being involved in a motor vehicle accident. Radiographic examinations revealed fractures of the second to fifth ribs on the left side along with hemopneumothorax and fracture-dislocation of the humeral head into the thoracic cavity. After initial stabilization, video-assisted thoracic surgery (VATS) was performed to remove the fractured humeral head, and this was followed by a hemiarthroplasty. In this case report, we have discussed significant aspects of this uncommon finding in order to alert surgeons of the potential risks associated with intrathoracic displacement of the fractured humeral bone in trauma patients.
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            Intrathoracic dislocation of the humeral head accompanied by polytrauma: How to treat it?

            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.
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              Murcia Intrathoracic fracture-dislocation of the humeral head: a case report Spain

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                Author and article information

                Journal
                SICOT J
                SICOT J
                sicotj
                SICOT-J
                EDP Sciences
                2426-8887
                2016
                23 September 2016
                : 2
                : ( publisher-idID: sicotj/2016/01 )
                : 30
                Affiliations
                [1 ] Dr. Vasantrao Pawar Medical College & Research Center Nashik Maharashtra 422003 India
                Author notes
                [* ]Corresponding author: parth_agrawal018@ 123456yahoo.co.in
                Article
                sicotj160048 10.1051/sicotj/2016022
                10.1051/sicotj/2016022
                5034681
                27658507
                eb9bb7eb-e5fc-4e9f-8069-4af1afbb971f
                © The Authors, published by EDP Sciences, 2016

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 May 2016
                : 11 July 2016
                Page count
                Figures: 3, Tables: 0, Equations: 0, References: 3, Pages: 2
                Categories
                Shoulder
                Case Report

                shoulder dislocation,dyspnea,intra-thoracic migration of head of humerus

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