Nadir Bir Ortopedik Acil: Aynı Hastada Omuz ve Kalçada Kırıklı Çıkık

Giriş: Travmatik omuz ve kalça kırıklı çıkıkları yüksek enerjili travmalar sonucu oluşan ve uzun süreli morbiditeye yol açabilen ciddi yaralanmalardır. Olgu Sunumu: Bu olgu sunumunda, 72 yaşındaki erkek hastada, araç içi trafik kazası sonucu oluşan, sağ kalça çıkığı, asetabulum kırığı, pertrokanterik femur kırığı, sol inferior omuz çıkığı ve sol proksimal humerus kırığının birlikte olduğu nadir bir ortopedik acil olguyu sunduk. Sonuç: Oldukça nadir görülen kırık ile birlikte inferior omuz çıkığı (luxatio erecta) ve kalçanın kırıklı çıkığı daha önce aynı hastada tariflenmemiştir. Her iki durumunda da komplikasyon ve ek yaralanma oranları yüksektir.
Anahtar Kelimeler:

Çıkık, kırık, omuz, kalça

A Rare Orthopedic Emergency: Both Fracture- Dislocation of the Shoulder and Hip in a Patient

Introduction: Traumatic fracture-dislocations of the shoulder and hip are serious injuries caused by high-energy trauma and can lead to long-term morbidity.Case Report: In this case report, we present a case of rare orthopedic emergency due to right hip dislocation, acetabular fracture, pertrochanteric femoral fracture, left inferior shoulder dislocation, and left proximal humerus fracture in a 72-year-old male patient suffering from a traffic accident that occurred while the patient was sitting inside the car.Conclusion: The occurrence of both inferior shoulder dislocation with fracture (luxatio erecta) and fracture-dislocation of the hip are extremely rare and have not been described previously in a single patient. Rates of complications and additional injuries are high in both situations

___

  • Sahin V, Karakaş ES, Aksu S, Atlihan D, Turk CY, Halici M. Traumatic dislocation and fracture-dislocation of the hip: a long-term follow-up study. J Trauma 2003; 54: 520-9. [CrossRef]
  • Kuhn KM, Boudreau JA, Watson JT. Rare combination of ipsilateral acetabular fracture-dislocation and pertrochanteric fracture. Am J Orthop (Belle Mead NJ). 2013; 42: 372-5.
  • Ellanti P, Davarinos N, Connolly MJ, Khan HA. Bilateral luxatio erecta humeri with a unilateral brachial plexus injury. J Emerg Trauma Shock 2013; 6: 308-10. [CrossRef]
  • Robinson CM, Khan LA, Akhtar MA. Treatment of anterior fracture- dislocations of the proximal humerus by open reduction and internal fixation. J Bone Joint Surg Br 2006; 88: 502-8. [CrossRef]
  • Mallon WJ, Bassett III FH, Goldner RD. Luxatio erecta: the inferior glenohumeral dislocation. J Orthop Trauma 1990; 4: 19-24. [CrossRef]
  • Relwani JG, Nikolopoulous I, Turnbull TJ, Turner R, Brooks M. Luxatio erecta in an adolescent with axillary artery and brachial plexus injury. Injury Extra 2007; 38: 456-8. [CrossRef]