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The Journal of Bone and Joint Surgery 82:105-8 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Contralateral Intrathoracic Displacement of the Humeral Head. A Case Report*

CRAIG P. EBERSON, M.D.{dagger}, THOMAS NG, M.D.{dagger} and ANDREW GREEN, M.D.{dagger}, PROVIDENCE, RHODE ISLAND

Investigation performed at Rhode Island Hospital/Brown University, Providence


   Introduction
 
Fracture-dislocation of the proximal aspect of the humerus with remote displacement of the humeral head is exceedingly rare. We are aware of five reports that describe such injuries2,3,5,7,8. In four of them, the injury was an ipsilateral intrathoracic displacement of the humeral head resulting from fracture-dislocation. The fifth, more recent report details a case in which the displaced humeral head was found in the ipsilateral retroperitoneal space8.

We report a case of a four-part fracture-dislocation of the proximal aspect of the humerus with displacement of the humeral head into the contralateral pleural cavity.


   Case Report
 
A sixty-four-year-old, right-hand-dominant man fell fifteen feet (4.6 meters) from a ladder while repairing a skylight in his home. He was transported to our level-1 trauma center, where he was evaluated according to Advanced Trauma Life Support protocols1. When he arrived, he was alert and hemodynamically stable and he reported pain in the chest . . . [Full Text of this Article]


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