DOI: 10.36347/sjams.2019.v07i10.044

Pages: 3445-3447

Introduction: The anterior shoulder dislocation with concomitant humeral shaft and ipsilateral distal humerus fracture is very rare. Since 1940, there has been a total of twenty cases of anterior shoulder dislocation associated with ipsilateral humeral shaft fracture, but its association with ipsilateral distal humerus fracture has not been reported. Case presentation: He is a 34-year-old man with no particular antecedents, who was the victim of a work accident (the fall of a very heavy machine on his left arm). Upon arrival, the patient was in pain with an increase in the volume of the left arm with total functional impotence of the left upper limb. The patient's clinical examination showed associated radial paralysis and a skin opening on the left elbow. The x-ray examination had objectified an anterior shoulder dislocation with concomitant humeral shaft and ipsilateral distal humerus fracture. The patient was treated by percutaneous pinning of the distal humerus fracture and plating osteosynthesis of the humeral shaft fracture followed by an open reduction of the dislocation of the shoulder. The patient had early and prolonged functional rehabilitation with follow-up consultation every three weeks for three months, then every two months for one year. The patient achieved almost normal and painless range of motion at 12 months. Conclusion: The anterior shoulder dislocation with concomitant humeral shaft and ipsilateral distal humerus fracture is a rare lesion entity. Adequate treatment is essential to prevent the complications of the three lesions from adding up and compromising the limb's function. Functional rehabilitation is essential to achieve good functional results.