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Ipsilateral Shoulder and Elbow Dislocation : Case report

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Vol 32| Issue 2 | July – Dec 2019 | page: 59-61| Raphael Thomas, M Raffic, Anoop S

Authors: Raphael Thomas[1], M Raffic[1], Anoop S[1]

[1]Department of Orthopaedics, Sree Gokulam Medical College, Venjaramoodu, Trivandrum, Kerala, India.

Address of Correspondence
Dr. Anoop S,
Sree Gokulam Medical College, Venjaramoodu, Trivandrum, Kerala, India.
E-mail: anoopsuresh88@gmail.com

Abstract

Background: The most commonly dislocated joint in the body is the Shoulder, followed by Elbow. A very rare presentation has both these dislocations on the ipsilateral side and only a few cases of these have been reported. In most cases which have been reported, Shoulder dislocation was initially missed and later diagnosed.
This case report is of a 70 year old Female patient who came to our Casulaty following slip and fall at home and sustained injury to the Right Upper Limb. Initially patient was diagnosed to have Right Elbow Fracture Dislocation. Xray was taken and reduction of elbow dislocation was done in the Casualty. After reduction of the elbow dislocation, one joint above and one joint below the injury was done and patient had complaints of pain over the Right Shoulder and Xray of Right Shoulder was taken and it showed Anterior Dislocation of Right Shoulder. This is a rare presentation of Ipsilateral Shoulder and Elbow Dislocation. The Shoulder Dislocation was reduced and an Above Elbow POP Slab was applied on the Right Upper Limb. Patient was reviewed at 2 weeks, 4 weeks, 1.5 months, 3 months and at 6 months. In the initial 4 weeks patient was on Above Elbow POP slab and it was removed at 4 weeks and shoulder and elbow joints were mobilized. Patient came for review again after 1.5 months, 3 months and 6 months and Range of Movement at the Shoulder and Elbow joints were assessed at each visit.
Conclusion: Ipsilateral dislocation of shoulder and elbow are uncommon and can be treated conservatively with good results. The Shoulder and Elbow range of movement was assessed at 4 weeks, 1.5 months, 3 months and 6 months and ROM of Elbow and Shoulder were found to be satisfactory.
Keywords: Shoulder, Elbow, Dislocation, Ipsilateral, Rare Case Report.

References

1. Inan U, Cevik AA and Omeroğlu H. Open humerus shaft fracture with ipsilateral anterior shoulder fracture-dislocation and posterior elbow dislocation: a case report. J Trauma. 2008; 64(5): 18383-6.
2. Suman RK. Simultaneous dislocations of the shoulder and the elbow. Injury. 1981; 12(5): 438.
3. Ali FM, Krishnan S and Farhan MJ. A case of ipsilateral shoulder and elbow dislocation: an easily missed injury. J Accid Emerg Med. 1998; 15(3):198.
4. Khan MR, Mirdad TM. Ipsilateral dislocation of the shoulder and elbow. Saudi Med J. 2001; 12: 1019-21.
5. Ahmet Imerci, Mert Kumbaraci, Mustafa İncesu, Ahmet Savran, Levent Karapinar. Ipsilateral Simultaneous Shoulder and Elbow Dislocation: A Case Report. Tr J Emerg Med. 2011; 11(2):72-5.

How to Cite this Article: Thomas R, Raffic M, Anoop S | Ipsilateral Shoulder and Elbow Dislocation : Case report| Kerala Journal of Orthopaedics | July – Dec 2019; 32(2): 59-61 .

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Chopart’s Fracture-dislocation – rare Cases Management

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Vol 31 | Issue 1 | Jan – Jun 2018 | page: 31-34 | Anvar Khan, M Raffic.

Authors: Anvar P Khan [1], M Raffic  [1]

[1] Department of Orthopaedics, Sree Gokulam Medical College, Venjaramoodu, Kerala, India.

Address of Correspondence
Dr. Anvar P Khan,
Department of Orthopaedics,
Sree Gokulam Medical College and Research Foundation,
Venjaramoodu, Trivandrum. India.
Email: anvarkhanp@gmail.com

Abstract

Introduction: Among the uncommon midfoot injuries, Chopart fracture-dislocations are the most severe injuries and the most difficult foot injuries to diagnose and manage [1]. We are presenting clinical and radiological data and the outcome of two rare cases of Chopart fracture dislocation. Two adult males who sustained Chopart’s fracture dislocation were treated by open reduction and internal fixation with k-wires under anesthesia on an emergency basis. K-wires removed after 3 weeks and patients were mobilized after 6 weeks and returned to their work by 10th post-operative week. We recommend adequate evaluation on initial presentation and early accurate diagnosis and emergency management of Chopart’s [2] injuries, because missed or delayed diagnosis and treatment are associated with significant long-term morbidity.
Keywords: Calcaneocuboid, Chopart, dislocation, foot, fracture, midtarsal, reduction, Talonavicular.

References

1. Wolf JH. Francois Chopart (1743-1795)- inventor of the partial foot amputation at the tarsometatarsal articulation. Orthop Tarumatol 12:341-344, 2000.

2. Richter M, Thermann H, Huefner T, Schmidt U, Goesling T, Krettek C. Chopart joint fracture-dislocation: initial open reduction provides better outcome than closed reduction. Foot Ankle Int. 2004 May;25(5):340–8.

3. Dorp KB van, Vries MR de, Elst M van der, Schepers T. Chopart Joint Injury: A Study of Outcome and Morbidity. J Foot Ankle Surg [Internet]. 2010 Nov 1 [cited 2018 Mar 1 7 ] ; 4 9 ( 6 ) : 5 4 1 – 5 . A v a i l a b l e f r o m : http://www.jfas.org/article/S1067-2516(10)002942/abstract

4. Canale ST, Beaty JH. Campbell’s Operative Orthopaedics EBook. Elsevier Health Sciences; 2012. 5105 p.

5. Bucholz RW. Rockwood and Green’s Fractures in Adults: Two Volumes Plus Integrated Content Website (Rockwood, Green, and Wilkins’ Fractures). Lippincott Williams & Wilkins; 2012. 2059 p.

6. Eastaugh-Waring SJ, Saleh M. The management of a complex midfoot fracture with circular external fixation. Injury. 1994 Jan;25(1):61–3.

7. Benirschke SK, Meinberg E, Anderson SA, Jones CB, Cole PA. Fractures and dislocations of the midfoot: Lisfranc and Chopart injuries. J Bone Joint Surg Am. 2012 Jul 18;94(14):1325–37.

8. Ramadorai MUE, Beuchel MW, Sangeorzan BJ. Fractures and Dislocations of the Tarsal Navicular. JAAOS – J Am Acad Orthop Surg [Internet]. 2016 Jun [cited 2018 Mar 1 7 ] ; 2 4 ( 6 ) : 3 7 9 . A v a i l a b l e f r o m : https://journals.lww.com/jaaos/Abstract/2016/06000/Fractures_and_Dislocations_of_the_Tarsal_Navicular.7.aspx

9. Main BJ, Jowett RL. Injuries of the midtarsal joint. J Bone Joint Surg Br. 1975 Feb;57(1):89–97.

10. Swords MP, Schramski M, Switzer K, Nemec S. Chopart Fractures and Dislocations. Foot Ankle Clin [Internet]. 2008 Dec 1 [cited 2018 Mar 17];13(4):679–93. Available from: http://www.foot.theclinics.com/article/S10837515(08)00068-5/abstract

11. Choi JC, Jung Y-H, Park SJ. Fracture and Dislocation of the Midtarsal Joint: A Case Report. J Korean Foot Ankle Soc [Internet]. 2017;21(3):108. Available from: https://synapse.koreamed.org/DOIx.php?id=10.14193/jkf as.2017.21.3.108.

12. Miller CM, Winter WG, Bucknell AL, Jonassen EA. Injuries to the midtarsal joint and lesser tarsal bones. J Am Acad Orthop Surg. 1998;6(4):249-258

13. Klaue K. Chopart fractures. Injury 35(suppl 2):SB64-SB70, 2004.

How to Cite this Article: Khan A P, Raffic M. Chopart’s Fracture-dislocation – rare Cases Management. Kerala Journal of Orthopaedics Jan- Jun 2018;31(1):31-34.

 

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