PMC9930172_01
Clinical aspect of the patient's right shoulder after the trauma showing edema and ecchymosis posteriorly.
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FIG1
The clinical examination revealed a painful, edematous right shoulder with ecchymosis on the posterior surface, The vascular-nervous examination was normal (Figure 1).
X-rays of the right shoulder after the trauma showing a fracture (red arrow) of the right proximal humerus, with a posterior dislocation (black arrow) of the humeral head.
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FIG2
CT scan of the right shoulder after the trauma shows the three-dimensional reconstruction slices (a-d), axial slice (c), and a complex three-part posterior fracture (red arrow) with dislocation (black arrow) of the right shoulder.
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FIG3
Intraoperative (a), postoperative (b), and three-week radiographs showing good reduction of the posterior shoulder fracture-dislocation (black arrow).
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FIG4
Intraoperative and postoperative radiographs showed a good reduction of the fracture and the posterior shoulder dislocation (Figures 4a, 4b). In the third week, we started active movements (Figure 4c).
(a, b) Radiographs at six weeks showing consolidation of the posterior fracture-dislocation (black arrow), (c, d) with satisfactory shoulder function at six months.
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FIG5
Radiography of the shoulder at six weeks had objectified a complete consolidation (Figures 5a, 5b). At the last visit, the patient was very satisfied (Figures 5c, 5d) with a Constant score of 85/100.