ArticleEuropean journal of medical research2021
Iatrogenic fracture during shoulder dislocation reduction: characteristics, management and outcomes.
Article in European journal of medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Clinical practice on treatment of primary traumatic anterior shoulder dislocation: a multidisciplinary guideline.Acta orthopaedica · 2026Guideline
- FARES and Spaso method for anterior shoulder dislocation: a prospective randomized control study demonstrating the benefit of a combined approach.Scientific reports · 2025Trial
- Tang's method is an effective new treatment for anterior shoulder dislocation.Scientific reports · 2025Trial
- The diagnostic value of pre- and post-reduction radiographs in anterior shoulder dislocation.Skeletal radiology · 2026Article
- Treatment of isolated greater tuberosity fractures: a scoping review.JSES reviews, reports, and techniques · 2026Review
- Article
- Review of radiological and clinical interpretation of anterior group shoulder dislocations and testing of a novel radiological measurement to distinguish between subcoracoid and subglenoid subtypes.BMC emergency medicine · 2026Article
- The Sonographic Evaluation of Abductor Injury After Intramedullary Nailing for the Hip Fractures.Journal of clinical medicine · 2025Article
- Current Evidence and Surgical Strategies in the Management of Greater Tuberosity Fracture-Dislocations: A Narrative Review.Journal of clinical medicine · 2025Review
- The Impact of the Position of the Humeral Head Relative to the Glenoid on Iatrogenic Fractures During Shoulder Dislocation Reduction.Medicina (Kaunas, Lithuania) · 2024Article
- Article
- Management of greater tuberosity fracture dislocations of the shoulder.JSES reviews, reports, and techniques · 2024Review
- Anterior shoulder dislocation with avulsion fracture of the greater tuberosity results in reliable good outcomes after closed reduction.JSES international · 2024Article
- Han's technique: a new reduction technique for acute anterior shoulder dislocation.Archives of orthopaedic and trauma surgery · 2023Article
- Modified chair method: an easy and efficient reduction method without medication for anterior shoulder dislocation.BMC emergency medicine · 2022Article
- Arthroscopic Reduction of a Missed/Neglected Anterior Shoulder Dislocation and Concomitant Repair of the Rotator Cuff Tendon.Arthroscopy techniques · 2022Article
- Glenohumeral joint dislocation is rare in children with proximal humeral fractures: a descriptive study and literature review.BMC musculoskeletal disorders · 2022Review
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShoulder dislocation and the cases of iatrogenic fractures during manual reduction are becoming increasingly common. The aim of this study was to investigate the characteristics, management, and patient outcomes of iatrogenic proximal humeral fracture during the manual reduction of shoulder dislocation.
methodsA retrospective and multi-center study was performed to identify all patients presenting with shoulder dislocation from January 2010 to January 2020. The sex and age of patients, associated injuries, first-time or habitual shoulder dislocation, type of anesthesia, time from injury to revision surgery, and functional outcomes were analyzed.
resultsA total of 359 patients with a mean age of 62.1 ± 7.3 years (range 29-86 years) were included. Twenty-one patients (female/male ratio 17:4) with an average age of 66.3 ± 9.7 years (range 48-86 years) were identified with a post-reduction iatrogenic fracture. Female cases with greater tuberosity fractures (GTF) were more likely than male cases to have iatrogenic fractures during reduction (P = 0.035). Women aged 60 years or older experienced more iatrogenic fractures during manual reduction (P = 0.026). Closed reduction under conscious sedation was more likely than that under general anesthesia to have iatrogenic fractures (P = 0.000). A total of 21 patients underwent open reduction and internal fixation (ORIF) when iatrogenic fractures occurred. The mean follow-up period was 19.7 ± 6.7 months (range 12-36 months). The mean Neer scores were 80.5 ± 7.6 (range 62-93), and the mean visual analog score (VAS) was 3.3 ± 1.5 (range 1-6). Significant differences were observed in the Neer score and VAS with the time (more or less 8 h) from injury to revision surgery (P < 0.05).
conclusionA high risk of iatrogenic proximal humeral fracture is present in shoulder dislocation with GTF in senile females without general anesthesia. ORIF performed in a timely manner may help improve functional outcomes in the case of iatrogenic injury.
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