[Shoulder dislocation associated with polyfractures of the same member [Report of 2 cases]]

ABSTRACT

We return two rare cases of lesion's associations treated in our service. It was about a dislocation of the shoulder associated to lesions stacked of the same superior member revealing the violence of the initial traumatism. The mechanism of lesions and the therapeutic strategy were discussed. In the first observation the dislocation was associated to a fracture of the humeral shaft and a supra and intercondylienne comminuted fracture of the humeral pillar, the patient had benefitted from a surgical treatment with in first an access of the shaft home that allowed us to manipulate the proximal fragment and to feel humeral head for the reduction, so the shaft has been fixed by a screwed plate and the epiphyseal fracture by a plate of Lecestre. In the second observation the dislocation was associated to fracture of the humeral shaft, a simple fracture of the internal condyle of the humeral pillar and a comminuted fracture of all the third inferior of the radius. The patient had benefitted from an access of the shaft home permitting the reduction of the humeral head; the shaft has been fixed by a screwed plate and the internal condyle of the pillar by a simple srew. For the fracture of the third inferior of the radius we opted for the association of a plate screwed to a fixer for the epiphyseal distraction. The present receding is of more than 1 year. The functional results of our patients are correct