Prognosis of Conservative Management of Shoulder Dislocation Fracture: A Case Report

The Gleno-humeral joint is a supreme joint of the shoulder complex. In all major joints of the human body, gleno-humeral joint is the most common dislocating joint. Around 98 % of the shoulder evicts in the anterior and about 2 % in the posterior direction. Traumatic shoulder dislocations occur may be due to a forceful collision, rapid jerky movement, falling on an outstretched arm and Atraumatic due to repetitive microtrauma. Isolated fractures of greater tuberosity are exceptional injuries, but it may also see in combination with anterior shoulder dislocation approximately 15 % to 30 %. Conservative management of anterior shoulder dislocation with displaced greater tuberosity fracture has poor results and also a greater chance of nonunion, malunion and osteonecrosis. Operative management had good results and allows to take part in early rehabilitation. In our case a 30 year old male injured his left shoulder. Radiographs of the shoulder confirmed anterior dislocation of shoulder with greater tuberosity fracture. The patient was managed by, Open Reduction Internal Fixation and intramedullary nail fixation under general anesthesia. After surgery patient manage by passive, active assistive, close chain and strengthening exercises. Slings were used for supporting the shoulder joint and cryotherapy used for reduction of pain and swelling.