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Mini Review Open Access
Volume 1 | Issue 1 | DOI: https://doi.org/10.46439/Trauma.1.002

Management of traumatic fracture-dislocation of the shoulder in children: A systematic review of published case reports

  • 1Associate Professor & Consultant Department of Orthopaedics, IMU University, Clinical Campus Seremban, Negeri Sembilan, 70300 Malaysia
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Corresponding Author

Mohammad Arshad Ikram, FRCS, mohammadarshad@imu.edu.my

Received Date: May 27, 2024

Accepted Date: June 11, 2024

Abstract

Proximal humerus fracture with simultaneous shoulder dislocation in children is a rare occurrence, with few reported cases. This systematic review of case reports aimed to document the outcomes of different treatment methods. A comprehensive literature search from 1980 to 2024 included case reports on traumatic shoulder fracture-dislocation in children. Eighteen studies were included, with a mean followup of 1.5 years. The cases comprised 7 boys and 11 girls, aged between 11 months and 16 years (median 6 years). The cases were divided into two groups based on epiphysealinvolvement. Group A had 11 cases (61%) with epiphyseal involvement, while Group B had 7 cases (38%) with metaphyseal fractures without epiphyseal involvement. Treatments included closed or open reduction, with or without internal fixation. All fractures healed in an average of 7 weeks, with full function restored in an average of 21.58 weeks. The review suggests that open reduction with K-wire fixation is optimal for Group A, whereas closed reduction with intramedullary fixation is more effective for Group B, offering satisfactory clinical and radiological results in a shorter time efficiently.

Keywords

Children, Shoulder, Fracture-dislocation, Glenohumeral, Humeral neck

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