Aortic Injury After Shoulder Reduction in a Patient with Multiple Rib Fractures: A Case Report. Issue 1 (January 2022)

• Record Type: Journal Article
• Authors: Lim, Eic-Ju; Kim, Se-Heon; Shon, Hyun-Chul; Yang, Jae-Young
• Is Part Of: JBJS case connector. Volume 12:Issue 1(2022)
• Publication Date: 2022-01
• Subjects: shoulder dislocation -- complication -- aortic injury; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00633
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 74-year-old woman presented with multiple rib fractures, hemothorax, spleen rupture, and right shoulder dislocation. Shoulder joint reduction was performed using the traction-countertraction method. An injury to the descending aorta, caused by the seventh rib, was confirmed. Conclusion: The authors encountered an aortic injury, a rare complication of shoulder joint reduction, in a patient with a posterior rib fracture. When managing patients with posterior fractures of the fourth to ninth ribs on the left side, the reduction method should be carefully selected depending on the status of the patient to avoid aortic injuries.