Percutaneous Closed Reduction of Shoulder Dislocation with a Surgical Neck Fracture: A Case Report

Abstract

A rare case of shoulder dislocation was observed. A 2-part surgical neck fracture was treated with percutaneus closed reduction using K-wire and subsequent internal fixation applied using Fox tail nail.
The patient was a 68-year-old woman with shoulder injury resulting from a fall at home. Manual reduction of her shoulder was attempted under venous anesthesia in the emergency department without success. Perctaneous reduction with K-wire was thus performed under general anesthesia in the operating theater on the same day. The reduction procedure was followed by an internal fixation with a Fox tail nail five days after the injury. The clinical outcome was excellent one year after surgery.
If perctaneous reduction of the dislocated shoulder is possible, the choice of subsequent surgery could be beneficial, allowing higher accuracy and less invasive surgery. It is believed that percutaneous reduction of the dislocated shoulder is valuable for any type of dislocated shoulder fracture.