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Innovative use of computer-assisted tomography in the management of an irreducible anterior shoulder dislocation.

Nandra, Rajpal S and Uppal, Harpal and Matharu, Gulraj and Brooks, Stuart and Srinivasan, Kapakuntra (2011) Innovative use of computer-assisted tomography in the management of an irreducible anterior shoulder dislocation. International journal of shoulder surgery, 5 (3). pp. 77-80. ISSN 0973-6042.

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Abstract

Anterior dislocation of the shoulder is a common injury which is often reduced in the emergency department, without specialist orthopedic input. We report a case of an irreducible locked anterior glenohumeral dislocation with impaction of the humeral head onto the antero-inferior glenoid rim and subsequent generation of a Hill-Sachs lesion. To our knowledge, we describe the first reported case of using computer-assisted tomography to generate a sequence of movements to safely disimpact the locked dislocation without causing further iatrogenic injury or a fracture through the humeral articular surface. This novel image-assisted closed reduction technique spared the patient from the morbidity associated with performing open reduction surgery. At 6-month follow-up, the patient reported no re-dislocations, returned to work and had excellent range of motion.

Item Type: Article
Subjects: WE Musculoskeletal. Orthopaedics
Divisions: Planned IP Care > Trauma and Orthopaedics
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Depositing User: Sophie Rollason
Date Deposited: 10 Jun 2014 13:32
Last Modified: 10 Jun 2014 13:41
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/128

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