ABSTRACT
Asymmetric bilateral hip dislocations are unusually rare injuries in isolation; however, they are even less often associated with unstable pelvic ring injuries. We report a case of asymmetric bilateral hip dislocations with an associated unstable pelvic ring injury and femoral head fracture in a 46-year-old male after being struck by a vehicle as a pedestrian. These injury patterns are typically the result of high-energy trauma, often seen in motor vehicle accidents. A thorough trauma evaluation, including proper radiographic and clinical evaluations, is necessary for the workup of these patients. This case presents an unusual combination of injuries that are associated with severe, potentially life-threatening complications. Ensuring a timely diagnosis and the initiation of early, proper management are essential in preventing poor outcomes in these patients.
ABSTRACT
Posterior fracture-dislocations of the shoulder are exceedingly rare orthopedic injuries. The management of these rare and complex injuries can be challenging from initial presentation through definitive management. Timely diagnosis of these injuries is critical to prevent devastating complications, yet the diagnosis is often delayed. Delays in surgery and poor fracture reduction are associated with a high risk of complications such as avascular necrosis. Additionally, these injuries have the potential to be irreducible. This may occur secondary to osteochondral humeral defects, soft tissue interposition, or entrapment. The long head of the biceps tendon incarceration is one potential block to reduction. Definitive surgical treatment options include open reduction and internal fixation (ORIF) and shoulder arthroplasty. While reoperation rates are higher in patients undergoing ORIF, arthroplasty longevity is a concern among young, active patients with high functional demands. Fibular strut allograft is a useful adjunct when reconstructing complex proximal humerus fractures. We present a case of a 28-year-old male who sustained a significantly comminuted four-part left proximal humerus fracture with an irreducible posterior humeral head dislocation requiring urgent ORIF following a motor vehicle accident.
ABSTRACT
CASE: A 43-year-old man developed Parsonage-Turner syndrome shortly after receiving a COVID-19 vaccine. The patient presented to the hospital 5 days after receiving a COVID-19 vaccine to the right shoulder complaining of severe right shoulder pain, right upper extremity swelling, and weakness. Clinical examination, physical examination, and magnetic resonance imaging findings were consistent with Parsonage-Turner syndrome. CONCLUSION: It is important that Parsonage-Turner syndrome remains in the differential diagnosis in a patient with severe shoulder pain and weakness after the administration of a COVID-19 vaccine.
Subject(s)
Brachial Plexus Neuritis , COVID-19 , Adult , Brachial Plexus Neuritis/etiology , COVID-19 Vaccines , Humans , Male , SARS-CoV-2 , VaccinationABSTRACT
CASE: Traumatic pelvic ring injury following childbirth is a rare but debilitating condition. We present a case of a 28-year-old female who sustained a traumatic pelvic ring injury following childbirth with a complete pubic symphysis separation of 5.6 cm treated successfully with nonoperative management. CONCLUSION: Operative and nonoperative treatments for traumatic pelvic ring injuries following childbirth have been described without universal adoption of a uniform treatment modality. We hope this case study adds to the collection of data to help guide medical decision-making in the future as surgeons encounter patients with similar orthopedic injuries.
