Elektrik Çarpmasına Bağlı Bilateral Omuz Yaralanması

Elektrik çarpmasına bağlı özellikle de iki taraflı omuz yaralanmaları oldukça seyrektir. Elektrik çarpması sonucu çift taraflı tuberkulum majus kırığı ve sağ omuzda anteriyor çıkığı olan bir olguyu sunmaktayız. Sağ omuz redüksiyonu Kocher manevrası kullanılarak gerçekleştirildi. Redüksiyon sonrası 4 hafta Velpeau bandajları ve ardından nazik fizik tedavi uygulandı. Travmadan 4 ay sonraki muayenede her iki omuzdaki iyileşme sorunsuzdu. Elektrik yaralanmalarında omuzda kırık ve çıkıkların olabileceği mutlaka öngörülmelidir. Erken tanı ve uygun tedavi iyi sonuç demektir.

Anahtar Kelimeler:

Shoulder, dislocation, electric shock

Bilateral Shoulder Injury Caused By Electric Shock

Shoulder injury, and more in particular bilateral involvement caused by electric shock, is extremely rare. We report a case of bilateral fracture of the greater tuberosity with anterior dislocation on the right shoulder following electric shock. The reduction of the right shoulder was accomplished using the Kocher maneuver. After reduction, Velpeau slings were applied for 4 weeks and then gentle physical therapy was carried out. At the last examination, which was 4 months after injury, recovery was uneventful for both shoulders. It must always be kept in mind that fractures and dislocations of the shoulder might occur in electrical injury. Early diagnosis and appropriate treatment lead to better outcomes

Keywords:

Shoulder, dislocation, electric shock,

PDF

___

Özer H, Baltacı G, Selek H, Turanlı S. Opposite-direction bilateral fracture dislocation of the shoulders after an electric shock. Arch Orthop Trauma Surg 2005; 125: 499-502. [CrossRef]
Yılmaz F, Sahin F, Dalgıc Yucel S, Oflazoglu B, Esit N, Kuran B. Bilateral shoul- der fracture dislocations and radiculopathies secondary to electrical injury (a case report) . Electromyogr Clin Neurophysiol 2006; 46: 387-90.
Breederveld RS, Patka P, Dwars BJ, Van Mourik JC. Shoulder injury caused by electric shock. Neth J Surg 1987; 39: 147-8.
Claro R, Sousa R, Massada M, Ramos J, Lourenco JM. Bilateral posterior fracture-dislocation of the shoulder: Report of two cases. Int J Shoulder Surg 2009; 3: 41-5. [CrossRef]
Rhee SJ, Reddy GK, Holder DS, Haddad FS. Sub-trochanteric fracture of the femur following electric shock. Ann R Coll Surg Engl 2008; 90: 1-3. [CrossRef]
Gehlen JM, Hoofwijk AG. Femoral neck fracture after electrical shock in- jury. Eur J Trauma Emerg Surg 2010; 36: 491-3. [CrossRef]
Govoni M, Orzincolo C, Bigoni M, Feggi L, Pareschi PL, Trotta F. Humeral head osteonecrosis caused by electrical injury: a case report. J Emerg Med 1993; 11: 17-21. [CrossRef]
Ferkel RD, Hedly AK, Eckardt JJ. Anterior fracture dislocations of the shoul- der. Pitfalls in treatments. J Trauma 1984; 24: 363-7. [CrossRef]
Platzer P, Kutscha-Lissberg F, Lehr S, Vecsei V, Gaebler C. The influence of displacement on shoulder function in patients with minimally displaced fractures of the greater tuberosity. Injury 2005; 36: 1185-9. [CrossRef]
Dinopoulos HT, Giannoudis PV, Smith RM, Matthews SJ. Bilateral anterior shoulder fracture-dislocation. A case report and a review of the literature. Int Orthop 1999; 23: 128-30. [CrossRef]