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Revista Española de Cirugía Ortopédica y Traumatología (English Edition)
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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Fracture-dislocation of the shoulder with intrapulmonary location of the humeral...
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Vol. 52. Issue 2.
Pages 110-112 (March - April 2008)
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Vol. 52. Issue 2.
Pages 110-112 (March - April 2008)
Case report
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Fracture-dislocation of the shoulder with intrapulmonary location of the humeral head
Fractura-luxación de hombro con fragmento intrapulmonar de la cabeza humeral
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J. Hernández-Enríquez
Corresponding author
lobato1400@yahoo.es

Corresponding author: Servicio de Traumatología y Cirugía Ortopédica. Hospital Universitario Virgen del Rocío. C/ Castillo de Aroche n.° 1. 41013 Sevilla.
, V. Rodríguez-Fernández, J. Sánchez-Navarro
Department of Orthopedic and Trauma Surgery. Virgen del Rocío University Hospital. Seville
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We present the case of a 50-year-old male who was injured as a result of a fortuitous fall from a horse. On falling, the patient impacted on the horse aad sustained a fracture of the proximal third of he humerus, with the humeral head ending up in an intrapulmonary location. The patient had to be administered thoracic drainage and was admitted into the ICU until he was stabilized. Subsequently, he was subjected to a partial shoulder arthroplasty and to a thoracotomy in order to extract the humeral fragment from its intraparenchymal location.

Key words:
humerus proximal fracture
shoulder dislocation
intrathoracic

Se presenta el caso de un varón de cincuenta años que sufrió una caída accidental de un caballo, recibiendo el impacto del animal sobre su cuerpo en la caída, produciéndose una fractura-luxación de la extremidad proximal del húmero, con localización intrapulmonar de la cabeza humeral. El paciente necesitó la colocación de un tubo de drenaje torácico e ingresó en la Unidad de Cuidados Intensivos (UCI) hasta su estabilización, tras la cual fue intervenido quirúrgicamente mediante una artroplastia parcial de hombro y seguidamente se procedió a la extracción, a través de una toracotomía, del fragmento humeral de localización intraparenqui-matosa.

Palabras clave:
fractura húmero proximal
luxación de hombro
intratorácica
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Copyright © 2008. Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT). All rights reserved
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