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The Journal of Bone and Joint Surgery 78:907-10 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Late Lateral Displacement of the Humeral Head after Closed Reduction of Glenohumeral Dislocation: A Sign of Vascular Injury. Report of a Case*

DAVID L. WAXMAN, M.D.{dagger}, MATTHEW P. FRANCE, M.D.{dagger} and DOUGLAS T. HARRYMAN II, M.D.{dagger}, SEATTLE, WASHINGTON

Investigation performed at the Department of Orthopaedics, University of Washington, Seattle


   Introduction
 
The most devastating complications associated with dislocation of the shoulder are injuries of the vessels or nerves to the limb1,3-8,10. The signs of vascular injury must be recognized early, and the injury should be addressed promptly to minimize functional morbidity.

We report on a patient who was seen because of a mass in the axilla four weeks after glenohumeral dislocation. Radiographs showed lateral displacement of the humeral head; the humerus was levered away from the glenoid by a pseudoaneurysm of the axillary artery. We report on this patient to illustrate that late lateral dislocation of the glenohumeral joint may suggest vascular injury.


   Case Report
 
A healthy seventy-two-year-old woman tripped at home, sustaining an injury of the left shoulder. She was seen at a local emergency room because of a painful deformity of that shoulder. The arm was in abduction at a right angle to the torso, and the humeral head was . . . [Full Text of this Article]


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