Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: atrogenic fracture of humerus – complication of a diagnostic error in a shoulder dislocation: a case repor. | Journal of Medical Case Reports BioMed Central Case report Open Access Iatrogenic fracture of humerus - complication of a diagnostic error in a shoulder dislocation a case report Riaz Ahmad Shahbaz Ahmed and Michael Bould Address Department of Trauma and Orthopaedics Weston General Hospital Grange Road Uphill Weston-Super-Mare BS23 4TQ UK Email Riaz Ahmad - riazkanth@ Shahbaz Ahmed - shahbaz@ Michael Bould - Corresponding author Published 2 July 2007 Received 25 May 2007 Journal of Medical Case Reports 2007 1 41 doi 1752-1947-1-41 Accepted 2 July 2007 This article is available from http content 1 1 41 2007 Ahmad et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Shoulder dislocation is the commonest dislocation presenting to the emergency department anterior being more common than posterior. The latter being less common has a tendency of being missed this is supported by many cases in the literature. Kocher s method is one of the many methods of reducing anterior dislocation there are many reported complications of employing this method. To the best of our knowledge we are reporting the first case of an iatrogenic fracture of the proximal humerus due to the use of Kocher s method of shoulder reduction in a posterior dislocation following a diagnostic error which led to an avoidable difficult surgical intervention. We also discuss the mechanism of the iatrogenic fracture and the measures that can be undertaken to prevent it. Background The shoulder is the most commonly dislocated major joint in the human body comprising up to 45 1 of dislocations. Posterior shoulder dislocation is rare with an incidence of 1 to 4 2 . .
