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Journal of Shoulder and Elbow Surgery

Humeral head fracture-dislocation into the thoracic outlet: Case report and review of the literature

      Dislocation of the humeral head into the thoracic or abdominal cavity is an extremely rare injury, with only 14 cases identified in the literature.
      • al-Kaar M.
      • Garcia J.
      • Khan H.G.
      • Manueddu C.
      Intrathoracic dislocation fracture of the head of the humerus.
      • Brogdon B.G.
      • Crotty J.M.
      • MacFeely L.
      • McCann S.B.
      • Fitzgerald M.
      Intrathoracic fracture-dislocation of the humerus.
      • Eberson C.P.
      • Ng T.
      • Green A.
      Contralateral intrathoracic displacement of the humeral head a case report.
      • Glessner J.R.
      Intrathoracic dislocation of the humeral head.
      • Hardcastle P.H.
      • Fisher T.R.
      Intrathoracic displacement of the humeral head with fracture of the surgical neck.
      • Kaar T.K.
      • Rice J.J.
      • Mullan G.B.
      Fracture-dislocation of the shoulder with intrathoracic displacement of the humeral head.
      • Patel M.R.
      • Pardee M.L.
      • Singerman R.C.
      Intrathoracic dislocation of the head of the humerus.
      • Pellet A.
      Intrathoracic dislocation of the humerus.
      • Simpson N.S.
      • Schwappach J.R.
      • Toby E.B.
      Fracture-dislocation of the humerus with intrathoracic displacement of the humeral head a case report.
      • Ulrich C.
      • Helbing G.
      • Worsdorfer O.
      • Lampl L.H.
      Intrathoracic dislocation of the head of the humerus.

      Watson-Jones R. In: Fractures and joint injuries. 4th ed. Volume 2. Edinburgh: E and S Livingstone; 1956. p. 479

      • West E.F.
      Intrathoracic dislocation of the humerus.
      • Wirth M.A.
      • Jensen K.L.
      • Agarwal A.
      • Curtis R.J.
      • Rockwood Jr, C.A.
      Fracture-dislocation of the proximal part of the humerus with retroperitoneal displacement of the humeral head a case report.
      We present the first known reported case of a patient with proximal humeral fracture-dislocation with displacement of the head fragment into the ipsilateral thoracic outlet via a route that did not traverse the rib cage.
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      References

        • al-Kaar M.
        • Garcia J.
        • Khan H.G.
        • Manueddu C.
        Intrathoracic dislocation fracture of the head of the humerus.
        J Radiol. 1998; 79: 57-59
        • Brogdon B.G.
        • Crotty J.M.
        • MacFeely L.
        • McCann S.B.
        • Fitzgerald M.
        Intrathoracic fracture-dislocation of the humerus.
        Skeletal Radiol. 1995; 24: 383-385
        • Eberson C.P.
        • Ng T.
        • Green A.
        Contralateral intrathoracic displacement of the humeral head.
        J Bone Joint Surg Am. 2000; 82: 105-108
        • Glessner J.R.
        Intrathoracic dislocation of the humeral head.
        J Bone Joint Surg Am. 1961; 43: 428-430
        • Hardcastle P.H.
        • Fisher T.R.
        Intrathoracic displacement of the humeral head with fracture of the surgical neck.
        Injury. 1981; 12: 313-315
        • Kaar T.K.
        • Rice J.J.
        • Mullan G.B.
        Fracture-dislocation of the shoulder with intrathoracic displacement of the humeral head.
        Injury. 1995; 26: 638-639
        • Patel M.R.
        • Pardee M.L.
        • Singerman R.C.
        Intrathoracic dislocation of the head of the humerus.
        J Bone Joint Surg Am. 1963; 45: 1712-1714
        • Pellet A.
        Intrathoracic dislocation of the humerus.
        Hefte Unfallheilkd. 1975; 126 ([in German]): 93-99
        • Simpson N.S.
        • Schwappach J.R.
        • Toby E.B.
        Fracture-dislocation of the humerus with intrathoracic displacement of the humeral head.
        J Bone Joint Surg Am. 1998; 80: 889-891
        • Ulrich C.
        • Helbing G.
        • Worsdorfer O.
        • Lampl L.H.
        Intrathoracic dislocation of the head of the humerus.
        Langenbecks Arch Chir. 1986; 367 ([in German]): 197-202
      1. Watson-Jones R. In: Fractures and joint injuries. 4th ed. Volume 2. Edinburgh: E and S Livingstone; 1956. p. 479

        • West E.F.
        Intrathoracic dislocation of the humerus.
        J Bone Joint Surg Br. 1949; 31: 61-62
        • Wirth M.A.
        • Jensen K.L.
        • Agarwal A.
        • Curtis R.J.
        • Rockwood Jr, C.A.
        Fracture-dislocation of the proximal part of the humerus with retroperitoneal displacement of the humeral head.
        J Bone Joint Surg Am. 1997; 79: 763-766