Ulus Travma Acil Cerrahi Derg. 2015; 21(2): 149-151 | DOI: 10.5505/tjtes.2015.72566

Intrathoracic dislocation of the humeral head accompanied by polytrauma: How to treat it?

Jinming Chen¹, Jin Yan¹, Shenhua Wang², Huiming Zhong², Haibo Zhou^2
1Department Of Emergency Medicine, Zhejiang Hospital, Hangzhou, China
²Department Of Emergency Medicine, The Second Affiliated Hospital, Zhejiang University School Of Medicine, Hangzhou, China

High-energy trauma to the shoulder is associated with multiple injuries and is often difficult to evaluate. One of these complex traumas is the displacement of the humeral head into the thoracic cavity. This study aimed to report a patient who presented after falling three floors. Initially, the patient underwent chest drainage and thoracoscopy to remove the displaced humeral head and, subsequently, underwent delayed artificial humeral head replacement. Hemodynamic stability, systematic evaluation, removal of the humeral head, and individual shoulder reconstruction are recommended for these patients.

Keywords: High-energy trauma, humeral head; intrathoracic dislocation.

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Politravmanýn eþlik ettiði humerus baþýnýn intratorasik dislokasyonu: Nasýl tedavi edilir?

Jinming Chen¹, Jin Yan¹, Shenhua Wang², Huiming Zhong², Haibo Zhou^2
1Zhejiang Üniversitesi Týp Fakültesi, Ýkinci Baðlý Hastanesi, Acil Týp Kliniði, Hangzhou, Çin;
²Zhejiang Hastanesi, Acil Týp Kliniði, Hangzhou, Çin

Omuzun yüksek enerjili travmalarý çoklu yaralanmalarla iliþkili olduðundan deðerlendirmesi sýklýkla zordur. Bu kompleks travmalardan biri de humerus baþýnýn toraks boþluðu içine deplasmanýdýr. Üçüncü kattan düþtükten sonra baþvuran bir hastayý tanýmlamaktayýz. Ýlk önce deplase olmuþ humerus baþýný çýkartmak için kadýn hastaya toraks drenajý ve torakoskopi yapýlmýþ, daha sonra hastaya geç dönemde yapay humerus baþý replasmaný uygulanmýþtýr. Bu hastalar için hemodinamik stabilite, sistematik deðerlendirme, humerus baþýnýn çýkartýlmasý ve bireye uygun omuz rekonstrüksiyonu önerilmektedir.

Anahtar Kelimeler: Humerus baþý, intratorasik dislokasyon; yüksek enerjili travma.

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