Recurrent Closed Anterior

May 2015
Dislocation Of
Glenohumeral Joint

CASE
PRESENTATION

Hasanuddin University
Hospital

Presented By :
Fyco Christian K
Advisor :
dr. Felix S. Batuna
dr. Aries Hutabarat
Supervisor :
dr. M. Ruksal Saleh, Ph.D, Sp. OT
Orthopaedic and Traumatology Department
Medical Faculty of Hasanuddin University
Makassar
2015

Patient Identity
Name

: Mr. PA

Age

: 65 y.o.

Gender

: Male

Admission Date

: May 10th, 2015

Registration

: 711437

History Taking
Chief Complain :
Pain on the left shoulder
Anamnesis :
Suffered since 1 hour before admitted to the
hospital due to traffic accident, felt continuously
and worsening when moving the arm
Mechanism of Trauma :
Patient sit at 2nd row and a passenger. The car hit
a tree and bump his left shoulder to the front seat.
After that, he felt pain and can not move his left
arm
History of Past Disease
:
Underwent surgery 4 months ago due to
dislocation of the left shoulder for 6 months ago

Primary Survey
Airway
: Clear
Breathing : RR 24 x/min, spontaneous,
thoracoabdominal type
Circulation : HR 98 x/min, strong, regular,
BP 130/70
Disability
: GCS 15 (E4M6V5), pupil
isochoric
3mm/ 3mm, light reflex +/+
Exposure
: T (axilla) 36.5 oC

Seconday Survey
Left Shoulder Region
Look : Deformity (+), Flat Shoulder (+),
hematome (-), Swelling (-), Scar (+)
Feel
: Tenderness (+)
Move : Active and passive motions of
shoulder
joint can not be evaluated due to pain
NVD : Sensibility is good, pulsation of radial
artery is palpable, CRT < 2 seconds

Physical Findings

Anterior View

Physical Findings

Posterior View

Lateral View

Laboratory Findings
WBC :
RBC :
HBG :
HCT :
PLT
CT
:
BT
:
HBsAg :

10.000/ ul
4.070.000/ ul
12,9 g/dl
36 %
: 275.000/ ul
300
600
non-reactive

Radiological Findings

Radiological Findings

Discussion

Evidence Leading to Diagnosis

 History Taking

 Physical Examination

 Radiological Examination

 Radiological Examination

Diagnosis
Recurrent Closed Anterior Dislocation of The Left
Glenohumeral Joint

Treatment
IVFD RL
Analgetic
Closed Reduction
Apply Velpeau Bandage

Complication
Early
Ligament injury
Neurological injury
Vascular injury
Fracture
Late
Joint stiffness
Recurrent dislocation

Thank you for your

attention!