"Champagne Fracture": A Superior Fracture-Dislocation of the Proximal Humerus: A Case Report. Issue 2 (13th April 2023)

• Record Type: Journal Article
• Authors: Bozon, Olivier; Vial D'Allais, Paul; Barret, Hugo; Chiche, Léo; Chammas, Michel; Coulet, Bertrand
• Is Part Of: JBJS case connector. Volume 13:Issue 2(2023)
• Publication Date: 2023-04-13
• Subjects: Shoulder fracture dislocation -- superior -- reverse total shoulder arthroplasty -- champagne fracture -- case report; 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.22.00763
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : A 79-year-old right-handed woman presented with an indirect trauma to her left shoulder after a fall down the stairs. X-rays and computed tomography showed a four-part glenohumeral fracture-dislocation with a subcutaneous ectopic location of the humeral head in the retroclavicular space. A reverse total shoulder arthroplasty was performed using a deltopectoral approach with direct superior extraction of the humeral head. The result at 2 years was a subjective shoulder value of 80%, an absolute Constant score of 59, and a relative Constant score of 92/100. To the best of our knowledge, this is the first description in the literature of such a lesion of superior glenohumeral fracture-dislocation and its treatment.