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Singapore Med J. 2007 Apr;48(4):e114-8.

Posterior fracture-dislocation of the humeral head treated without the use of metallic implants.

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Sports Medicine Service, Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Singapore 169608.


Posterior fracture-dislocation of the humeral head is an uncommon injury, usually associated with seizures, electrocution injury and high-impact trauma. Prompt diagnosis and treatment are important to prevent avascular necrosis of the humeral head. Various methods to treat such injury have been described. We report a 34-year-old man who had a four-part humeral head fracture with concomitant posterior dislocation that was treated with open reduction and internal fixation with non-absorbable polyester sutures. The diagnosis and operative techniques are described and factors influencing our choice of management are discussed. A review of the literature is also included.

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